Provider Demographics
NPI:1023763117
Name:NIEVES-LOZADA, LINNETTE (AUD, F-AAA)
Entity type:Individual
Prefix:
First Name:LINNETTE
Middle Name:
Last Name:NIEVES-LOZADA
Suffix:
Gender:F
Credentials:AUD, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CALLE GUAYACAN
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-2796
Mailing Address - Country:US
Mailing Address - Phone:787-363-5827
Mailing Address - Fax:
Practice Address - Street 1:136 CALLE GUAYACAN
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-2796
Practice Address - Country:US
Practice Address - Phone:787-363-5827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1031231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist