Provider Demographics
NPI:1952644635
Name:CARDENALES, NELSON H (AUD)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:H
Last Name:CARDENALES
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 CALLE DEGETAU S
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3640
Mailing Address - Country:US
Mailing Address - Phone:787-595-0609
Mailing Address - Fax:
Practice Address - Street 1:155 CALLE DEGETAU S
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3640
Practice Address - Country:US
Practice Address - Phone:787-595-0609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR630231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist