Provider Demographics
NPI:1326272337
Name:RENDO, KARINA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:RENDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 CALLE FRANCIA APT 4B
Mailing Address - Street 2:CONDOMINIO FRANCIA - SANTURCE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911
Mailing Address - Country:US
Mailing Address - Phone:917-622-6471
Mailing Address - Fax:
Practice Address - Street 1:1605 AVE PONCE DE LEON STE 609
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1811
Practice Address - Country:US
Practice Address - Phone:787-563-9049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017327235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist