Provider Demographics
NPI:1497030977
Name:BORRERO, MARTA (SPL)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:
Last Name:BORRERO
Suffix:
Gender:F
Credentials:SPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6654
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-9409
Mailing Address - Country:US
Mailing Address - Phone:787-347-9589
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 6654
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-9409
Practice Address - Country:US
Practice Address - Phone:787-347-9589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist