Provider Demographics
NPI:1467898841
Name:ALLENDE, ZOMARIE (MS SLP)
Entity Type:Individual
Prefix:
First Name:ZOMARIE
Middle Name:
Last Name:ALLENDE
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE PINERO
Mailing Address - Street 2:PARQUE LOYOLA #600 APT: 503
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4003
Mailing Address - Country:US
Mailing Address - Phone:787-356-3047
Mailing Address - Fax:
Practice Address - Street 1:156 DR. ROSES ARTAU
Practice Address - Street 2:SUITE 1
Practice Address - City:ARECIBO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00612
Practice Address - Country:UM
Practice Address - Phone:787-356-3047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist