Provider Demographics
NPI:1669792602
Name:RODRIGUEZ, ASTIR YALIZ
Entity type:Individual
Prefix:MS
First Name:ASTIR
Middle Name:YALIZ
Last Name:RODRIGUEZ
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:PO BOX 1462
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1462
Mailing Address - Country:US
Mailing Address - Phone:787-566-4732
Mailing Address - Fax:
Practice Address - Street 1:101 AVE. SAN PATRICIO MARAMAR PLAZA
Practice Address - Street 2:SUITE 1060
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-474-0400
Practice Address - Fax:787-474-0408
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19732355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant