Provider Demographics
NPI:1598996696
Name:CADILLA, KARLA VIRGINIA (SLP,MS)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:VIRGINIA
Last Name:CADILLA
Suffix:
Gender:F
Credentials:SLP,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND. PLAZA DEL PRADO CARR. 833
Mailing Address - Street 2:APT. 802-B
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-593-3731
Mailing Address - Fax:
Practice Address - Street 1:COND. PLAZA DEL PRADO CARR. 833
Practice Address - Street 2:APT. 802-B
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-593-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR852235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist