Healthcare Provider Details

I. General information

NPI: 1316730740
Provider Name (Legal Business Name): ERIKA LIZ GONZALEZ-RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1055
AIBONITO PR
00705-1055
US

IV. Provider business mailing address

PO BOX 1055
AIBONITO PR
00705-1055
US

V. Phone/Fax

Practice location:
  • Phone: 939-244-2923
  • Fax:
Mailing address:
  • Phone: 939-244-2923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4687
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: