Provider Demographics
NPI:1700039567
Name:CHINEA, SAUDIS M (MS)
Entity Type:Individual
Prefix:MS
First Name:SAUDIS
Middle Name:M
Last Name:CHINEA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G8 PLAZA 14
Mailing Address - Street 2:QUINTA DEL RIO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3021
Mailing Address - Country:US
Mailing Address - Phone:787-696-0605
Mailing Address - Fax:
Practice Address - Street 1:G8 PLAZA 14
Practice Address - Street 2:QUINTA DEL RIO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3021
Practice Address - Country:US
Practice Address - Phone:787-696-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist