Provider Demographics
NPI:1417129271
Name:ESQUIVEL, ROSEMARY J (SLP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:J
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7117 PRIMOS CIRCLE
Mailing Address - Street 2:RR 10 BOX 517-A
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-9023
Mailing Address - Country:US
Mailing Address - Phone:956-383-7984
Mailing Address - Fax:
Practice Address - Street 1:7117 PRIMOS CIRCLE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-9023
Practice Address - Country:US
Practice Address - Phone:956-383-7984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101886235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist