Provider Demographics
NPI:1740404045
Name:QUINTERO, ROSANNA (SL-P)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:SL-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1768 CALLE ALABAMA
Mailing Address - Street 2:URB. SAN GERARDO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3455
Mailing Address - Country:US
Mailing Address - Phone:787-764-0791
Mailing Address - Fax:787-739-4814
Practice Address - Street 1:1768 CALLE ALABAMA
Practice Address - Street 2:URB. SAN GERARDO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3455
Practice Address - Country:US
Practice Address - Phone:787-764-0791
Practice Address - Fax:787-739-4814
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR561235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist