Provider Demographics
NPI:1851628739
Name:AYABARRENO, BETSY M. SOTO (MS PHL)
Entity Type:Individual
Prefix:
First Name:BETSY M.
Middle Name:SOTO
Last Name:AYABARRENO
Suffix:
Gender:F
Credentials:MS PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GC15 CALLE 418
Mailing Address - Street 2:COUNTRY CLUB
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-1932
Mailing Address - Country:US
Mailing Address - Phone:787-602-2730
Mailing Address - Fax:
Practice Address - Street 1:GC15 CALLE 418
Practice Address - Street 2:COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-1932
Practice Address - Country:US
Practice Address - Phone:787-602-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist