Healthcare Provider Details

I. General information

NPI: 1376464453
Provider Name (Legal Business Name): NEURO VOICE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 181, KM 60 BO. DOS BOCAS
TRUJILLO ALTO PR
00977-1370
US

IV. Provider business mailing address

CHALETS DE BAYAMON 50 AVE RAMON L RODRIGUEZ APT 1011
BAYAMON PR
00959-5909
US

V. Phone/Fax

Practice location:
  • Phone: 787-645-8978
  • Fax:
Mailing address:
  • Phone: 787-645-8978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAOLA DE JESUS MARTINEZ
Title or Position: MANAGING MEMBER
Credential: MS, CCC-SLP
Phone: 787-645-8978