Healthcare Provider Details

I. General information

NPI: 1669384897
Provider Name (Legal Business Name): ASHLEY ECHEVARRIA VARGAS MS-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO BIANCA, CARR. 2, KM 14.3
ANASCO PR
00610
US

IV. Provider business mailing address

HC 58 BOX 13674
AGUADA PR
00602-9896
US

V. Phone/Fax

Practice location:
  • Phone: 939-228-7905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4530
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: