Provider Demographics
NPI:1023800158
Name:LANTIGUA VIRELLA, DAYANA
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:LANTIGUA VIRELLA
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:URB PRADERA DEL RIO 3142 CALLE RIO COCAL
Mailing Address - Street 2:3142
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-421-3956
Mailing Address - Fax:787-421-3956
Practice Address - Street 1:URB PRADERA DEL RIO 3142 CALLE RIO COCAL
Practice Address - Street 2:3142
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-421-3956
Practice Address - Fax:787-421-3956
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4457235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist