Healthcare Provider Details

I. General information

NPI: 1124989561
Provider Name (Legal Business Name): KATHERINE ORENGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 CALLE AMALIA PAOLI
PONCE PR
00728-1940
US

IV. Provider business mailing address

URBANIZACION VILLAS DE RIO CANAS 1540 AMALIA PAOLI
PONCE PR
00728
US

V. Phone/Fax

Practice location:
  • Phone: 787-314-8323
  • Fax:
Mailing address:
  • Phone: 787-314-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number4096
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: