MEDICARE: MRS. ANITZA URQUIA ARAN LCDA

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	598	PR

General Provider Information

NPI Number	:	1710198692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANITZA URQUIA ARAN LCDA

Provider Business Mailing Address
First Line	:	CENTRO TERAS INC.
Second Line	:	PLAZA ITURREGUI, SUITE # 222, AVE. 65 DE INFANTERIA
City	:	SAN JUAN
State	:	PR
Zip	:	00924-0000
Country	:	US
Telephone Number	:	787-462-5590
Fax Number	:	787-998-8811

Provider Business Practice Location Address
First Line	:	CENTRO TERAS INC.
Second Line	:	PLAZA ITURREGUI, SUITE # 222, AVE. 65 DE INFANTERIA
City	:	SAN JUAN
State	:	PR
Zip	:	00924-0000
Country	:	US
Telephone Number	:	787-462-5590
Fax Number	:

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

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/22/2019

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