MEDICARE: SUZETTE RIUTORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	323	PR

General Provider Information

NPI Number	:	1659510170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZETTE RIUTORT

Provider Business Mailing Address
First Line	:	1475 AVE WILSON
Second Line	:	SUITE 1B
City	:	SAN JUAN
State	:	PR
Zip	:	00907-2357
Country	:	US
Telephone Number	:	787-728-3031
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 AVE WILSON
Second Line	:	SUITE 1B
City	:	SAN JUAN
State	:	PR
Zip	:	00907-2357
Country	:	US
Telephone Number	:	787-728-3031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	02/05/2009

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Directions to “ SUZETTE RIUTORT ” Practice Location

Language	Start Address	Practice Location

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