Provider Demographics
NPI:1497096432
Name:MARQUEZ, ANAYMI (SLP)
Entity Type:Individual
Prefix:MISS
First Name:ANAYMI
Middle Name:
Last Name:MARQUEZ
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:URBANIZACION RIO GRANDE ESTATE
Mailing Address - Street 2:CALLE 1 A17
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745
Mailing Address - Country:US
Mailing Address - Phone:787-341-4468
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION RIO GRANDE ESTATE
Practice Address - Street 2:CALLE 1 A17
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-341-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2017-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001223235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist