Healthcare Provider Details

I. General information

NPI: 1316719487
Provider Name (Legal Business Name): KAMILA NARVAEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 10/23/2023
Certification Date: 10/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 46.6 LOCAL 4 & 5
MANATI PR
00674
US

IV. Provider business mailing address

HC 2 BOX 80212
CIALES PR
00638-9793
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-7326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number6151-1
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: