Provider Demographics
NPI:1023560182
Name:AMADOR, BARBARA ELIZABETH
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELIZABETH
Last Name:AMADOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 CALLE A
Mailing Address - Street 2:URB ESTANCIAS DE MEMBRILLO
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627
Mailing Address - Country:US
Mailing Address - Phone:787-624-4956
Mailing Address - Fax:
Practice Address - Street 1:50 URB VISTA VERDE
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-3303
Practice Address - Country:US
Practice Address - Phone:787-624-4956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14102355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant