Provider Demographics
NPI:1245934116
Name:ROJAS FELICIE, OLGA STEPHANIE (SLP)
Entity type:Individual
Prefix:MISS
First Name:OLGA
Middle Name:STEPHANIE
Last Name:ROJAS FELICIE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:STEPHANIE
Other - Last Name:ROJAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDA ROJAS
Mailing Address - Street 1:URB. SAN GERARDO CALLE AUGUSTA 1662
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-1662
Mailing Address - Country:US
Mailing Address - Phone:787-674-3748
Mailing Address - Fax:
Practice Address - Street 1:URB. SAN GERARDO CALLE AUGUSTA 1662
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:P.R.
Practice Address - Zip Code:00926
Practice Address - Country:LC
Practice Address - Phone:787-674-3748
Practice Address - Fax:787-674-3748
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist