Healthcare Provider Details

I. General information

NPI: 1982527248
Provider Name (Legal Business Name): CRISTINA CARIDAD RODRIGUEZ-VENTURA SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE AGUAYO #1196 UNIDAD 2 URB EL COMANDANTE
SAN JUAN PR
00924
US

IV. Provider business mailing address

PAISAJES DEL ESCORIAL A32 BZN 107
CAROLINA PR
00987
US

V. Phone/Fax

Practice location:
  • Phone: 787-547-1049
  • Fax:
Mailing address:
  • Phone: 787-547-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4326
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: