Provider Demographics
NPI:1629943543
Name:RIVERA MARRERO, SULEIKA MARIE (THL)
Entity type:Individual
Prefix:
First Name:SULEIKA
Middle Name:MARIE
Last Name:RIVERA MARRERO
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PP14 CALLE 5
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-6240
Mailing Address - Country:US
Mailing Address - Phone:787-998-8866
Mailing Address - Fax:
Practice Address - Street 1:PP14 CALLE 5
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-6240
Practice Address - Country:US
Practice Address - Phone:787-998-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR50102355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty