- Practice location
- 2550 S San Tan Village Pkwy Apt 2094, Gilbert, AZ 85295-7879
- Phone
- 787-671-5275
- Fax
- —
- Last updated
- October 26, 2021
Ivonne Marie Maldonado De La Rosa is a Speech-Language Pathologist, based in Gilbert, AZ. Ivonne Marie Maldonado De La Rosa practices in Gilbert, AZ. The NPI Number for Ivonne Marie Maldonado De La Rosa is 1316568272 and holds a License No. 30762 (CA). The current practice location address for Ivonne Marie Maldonado De La Rosa is 2550 S San Tan Village Pkwy Apt 2094, Gilbert, AZ 85295-7879 and can be reached out via phone at 787-671-5275.
Provider Profile Details
- NPI Number
- 1316568272
- Provider Name
- Ivonne Marie Maldonado De La Rosa
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2550 S San Tan Village Pkwy Apt 2094, Gilbert, AZ 85295-7879
- Phone Number
- 787-671-5275
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2020
- Last Update Date
- October 26, 2021
- Certification Date
- October 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2550 S San Tan Village Pkwy Apt 2094
Gilbert, AZ 85295-7879 - City
- Gilbert
- State
- Arizona
- Zip
- 85295-7879
- Phone Number
- 787-671-5275
Provider Business Mailing Address Details
- Address
- 2550 S San Tan Village Pkwy Apt 2094
Gilbert, AZ 85295-7879 - City
- Gilbert
- State
- AZ
- Zip
- 85295-7879
- Phone Number
- 787-671-5275
License Information
- License Number (1)
- 30762
- License State (1)
- CA
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X
- License Number (2)
- SLP011047
- License State (2)
- GA
- Taxonomy (2)
- Speech-Language Pathologist, · 235Z00000X
- License Number (3)
- 4214
- License State (3)
- PR
- Taxonomy (3)
- Speech-Language Pathologist, · 235Z00000X
- License Number (4)
- 13103
- License State (4)
- AZ
- Taxonomy (4)
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ivonne M Maldonado De La Rosa?
The NPI number of Ivonne M Maldonado De La Rosa is 1316568272. It was assigned on May 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Ivonne M Maldonado De La Rosa?
Ivonne M Maldonado De La Rosa is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CA under license number 30762.
Where does Ivonne M Maldonado De La Rosa practice?
The practice location is 2550 S San Tan Village Pkwy Apt 2094, Gilbert, AZ 85295-7879. The office can be reached at 787-671-5275 (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 1316568272 directly on the NPPES registry website.