Provider Demographics
NPI:1255162152
Name:SANTANA RIOS, LINOSHKA (LCDA)
Entity type:Individual
Prefix:
First Name:LINOSHKA
Middle Name:
Last Name:SANTANA RIOS
Suffix:
Gender:F
Credentials:LCDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 174 #79
Mailing Address - Street 2:URB AGUSTIN STAHL LOCAL 4
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-528-1856
Mailing Address - Fax:
Practice Address - Street 1:CARR 174 #79
Practice Address - Street 2:URB AGUSTIN STAHL LOCAL 4
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-528-1856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4329235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist