Provider Demographics
NPI:1861795742
Name:ANDINO, MARIA DE LOS A
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DE LOS A
Last Name:ANDINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BH4 CALLE LA NINA
Mailing Address - Street 2:URBANIZACION BAIROA
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1471
Mailing Address - Country:US
Mailing Address - Phone:787-220-5423
Mailing Address - Fax:787-653-5657
Practice Address - Street 1:16 CALLE AMATISTA
Practice Address - Street 2:URBANIZACION VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1904
Practice Address - Country:US
Practice Address - Phone:787-220-5423
Practice Address - Fax:787-653-5657
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10992355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant