Provider Demographics
NPI:1679907372
Name:RODRIGUEZ-BLASINI, YVONNE M
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:RODRIGUEZ-BLASINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STREET DEL MUELLE, CONDOMINIO CAPITOLIO PLAZA
Mailing Address - Street 2:APT. 2307
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:STREET DEL MUELLE, CONDOMINIO CAPITOLIO PLAZA
Practice Address - Street 2:APT. 2307
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-453-8266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1001231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist