Provider Demographics
NPI:1891092458
Name:GALARZA, CORALIS NOEMI (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:CORALIS
Middle Name:NOEMI
Last Name:GALARZA
Suffix:
Gender:F
Credentials:MS, 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 1796
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-1796
Mailing Address - Country:US
Mailing Address - Phone:787-220-6920
Mailing Address - Fax:787-897-9848
Practice Address - Street 1:CARR.129 INT. 454 KM.3.9 CALLEJONES
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669
Practice Address - Country:US
Practice Address - Phone:787-220-6920
Practice Address - Fax:787-897-9848
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist