Provider Demographics
NPI:1982716155
Name:SUREDA, MARIA (MS-A)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:SUREDA
Suffix:
Gender:F
Credentials:MS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HEARING TEC CENTRAL PLAZA 1645 AVE PINERO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920
Mailing Address - Country:US
Mailing Address - Phone:787-707-1589
Mailing Address - Fax:
Practice Address - Street 1:HEARING TEC CENTRAL PLAZA1 645 AVE. PINERO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920
Practice Address - Country:US
Practice Address - Phone:787-707-1589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000531231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-1443Medicare ID - Type UnspecifiedAUDIOLOGY