Provider Demographics
NPI:1881856730
Name:QUIRINDONGO MONTANEZ, YARA LIZ (MS)
Entity Type:Individual
Prefix:
First Name:YARA
Middle Name:LIZ
Last Name:QUIRINDONGO MONTANEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:
Other - Last Name:QUIRINDONGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:412 CALLE FLOR DE PRIMAVERA
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3382
Mailing Address - Country:US
Mailing Address - Phone:787-448-9629
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA ESTATAL 8860 KM 1.2
Practice Address - Street 2:BO LAS CUEVAS SECTOR MATIENZO
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-562-9346
Practice Address - Fax:787-761-5889
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist