Provider Demographics
NPI:1255758678
Name:RODRIGUEZ BLASINI, FRANCES JOANNE
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:JOANNE
Last Name:RODRIGUEZ BLASINI
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 1:84 CALLE JUAN ARZOLA
Mailing Address - Street 2:BDA. GUAYDIA
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-9760
Mailing Address - Country:US
Mailing Address - Phone:787-340-8716
Mailing Address - Fax:
Practice Address - Street 1:L-2 CALLE JAGUEY
Practice Address - Street 2:URB. SANTA ELENA 1
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-9760
Practice Address - Country:US
Practice Address - Phone:787-340-8716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI54432355S0801X
PR001522235Z00000X
FLSZ9504235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660766085Medicaid