Provider Demographics
NPI:1942517057
Name:GESUALDO, FRANCES M (PHL)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:GESUALDO
Suffix:
Gender:F
Credentials:PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 PASEO LA FORTUNA
Mailing Address - Street 2:URB. HACIENDAS DEL MONTE
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2305
Mailing Address - Country:US
Mailing Address - Phone:787-702-2011
Mailing Address - Fax:787-998-5026
Practice Address - Street 1:1607 AVE PONCE DE LEON
Practice Address - Street 2:COBIANS PLAZA SUITE GM4
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1820
Practice Address - Country:US
Practice Address - Phone:787-998-6868
Practice Address - Fax:787-998-6868
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist