Provider Demographics
NPI:1275790214
Name:SPEECH R US
Entity Type:Organization
Organization Name:SPEECH R US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:787-423-2481
Mailing Address - Street 1:BARRIO ALGARROBO, CALLE RAUL BELLAFLORES
Mailing Address - Street 2:107 REPARTO SAN FRANCISCO
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-423-2481
Mailing Address - Fax:
Practice Address - Street 1:SAN GERMAN MEDICAL PLAZA
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-423-2481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR759261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech