Provider Demographics
NPI:1821327537
Name:URIBE MARTINEZ, ARACELI (SLP)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:URIBE MARTINEZ
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 4012
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-6287
Mailing Address - Country:US
Mailing Address - Phone:956-750-3155
Mailing Address - Fax:956-765-6089
Practice Address - Street 1:1513 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-3572
Practice Address - Country:US
Practice Address - Phone:956-750-3155
Practice Address - Fax:956-765-6089
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15110235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist