=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508306481
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE QUINONES FIGUEROA MS,PHL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2017
-----------------------------------------------------
Last Update Date | 02/27/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 319C COND PORTALES DE RIO GRANDE
-----------------------------------------------------
City | RIO GRANDE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00745-8716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-922-3265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 319C COND PORTALES DE RIO GRANDE
-----------------------------------------------------
City | RIO GRANDE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00745-8716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-922-3265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 4000
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------