Provider Demographics
NPI:1619739463
Name:SANTIAGO-RIVERA, SYNDIA LIZ (SLP)
Entity Type:Individual
Prefix:MS
First Name:SYNDIA
Middle Name:LIZ
Last Name:SANTIAGO-RIVERA
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 3295
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-3295
Mailing Address - Country:US
Mailing Address - Phone:787-469-6938
Mailing Address - Fax:
Practice Address - Street 1:MONTE ATENAS OFFICE PARK, PR-199 LAS CUMBRES
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-662-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist