MEDICARE: MRS. PAOLA M MARQUEZ SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	4594	PR

General Provider Information

NPI Number	:	1184540098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAOLA M MARQUEZ SLP

Provider Business Mailing Address
First Line	:	894 CALLE 2
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-5220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 CARR 844
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4446
Country	:	US
Telephone Number	:	787-647-1266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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