Provider Demographics
NPI:1427230705
Name:GUZMAN-DURAN, MARIA C (SLP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:GUZMAN-DURAN
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:PO BOX 3065
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3065
Mailing Address - Country:US
Mailing Address - Phone:787-834-3368
Mailing Address - Fax:
Practice Address - Street 1:L10 CALLE 4
Practice Address - Street 2:COLINAS DEL OESTE
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-1939
Practice Address - Country:US
Practice Address - Phone:787-849-2179
Practice Address - Fax:787-849-2205
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist