Active NPIIndividual providerSole proprietor

Mrs. Ivette M Moctezuma, SLP

Speech-Language Pathologist, in San Lorenzo, Puerto Rico

NPI Number1083922330
Practice location
Anexo Jardines De Cerro Gordo 139, San Lorenzo, PR 00754
Fax
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Last updated
September 21, 2010

Ivette Margarita Moctezuma is a Speech-Language Pathologist, based in San Lorenzo, PR. Ivette Margarita Moctezuma practices in San Lorenzo, PR and has the professional credentials of SLP. The NPI Number for Ivette Margarita Moctezuma is 1083922330 and holds a License No. 00743 (PR). The current practice location address for Ivette Margarita Moctezuma is Anexo Jardines De Cerro Gordo 139, San Lorenzo, PR 00754 and can be reached out via phone at 787-736-8255.

Provider Profile Details

NPI Number
1083922330
Provider Name
Ivette Margarita Moctezuma
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
Anexo Jardines De Cerro Gordo 139, San Lorenzo, PR 00754
Phone Number
787-736-8255
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2010
Last Update Date
September 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Anexo Jardines De Cerro Gordo 139
San Lorenzo, PR 00754
Zip
00754
Phone Number
787-736-8255
San Lorenzo, PR 00754Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 8
San Lorenzo, PR 00754
City
San Lorenzo
State
PR
Zip
00754
Phone Number
787-736-8255

License Information

License Number
00743
License State
PR
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Ivette M Moctezuma, SLP?

The NPI number of Mrs. Ivette M Moctezuma, SLP is 1083922330. It was assigned on September 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ivette M Moctezuma, SLP?

Mrs. Ivette M Moctezuma, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in PR under license number 00743.

Where does Mrs. Ivette M Moctezuma, SLP practice?

The practice location is Anexo Jardines De Cerro Gordo 139, San Lorenzo, PR 00754. The office can be reached at 787-736-8255 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083922330 directly on the NPPES registry website.

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