Provider Demographics
NPI:1053977702
Name:RODRIGUEZ-COLON, ZULEYKA MARIE (SLP)
Entity type:Individual
Prefix:
First Name:ZULEYKA
Middle Name:MARIE
Last Name:RODRIGUEZ-COLON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 14169
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9736
Mailing Address - Country:US
Mailing Address - Phone:787-469-1109
Mailing Address - Fax:
Practice Address - Street 1:124 CALLE JOSE I QUINTON
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-3050
Practice Address - Country:US
Practice Address - Phone:787-930-4679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4123235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist