Provider Demographics
NPI:1003567538
Name:FIGUEROA AYALA, CARMEN CRISTINA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:CRISTINA
Last Name:FIGUEROA AYALA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 FORT WORTH AVE APT 3301
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-1815
Mailing Address - Country:US
Mailing Address - Phone:787-678-0146
Mailing Address - Fax:
Practice Address - Street 1:URB SANTA JUANA IV
Practice Address - Street 2:Y11 CALLE 11
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-500-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist