Provider Demographics
NPI:1689489916
Name:CORUJO - SANCHEZ, MARIA INES
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:INES
Last Name:CORUJO - SANCHEZ
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:PO BOX 360340
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0340
Mailing Address - Country:US
Mailing Address - Phone:787-923-0338
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 360340
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-0340
Practice Address - Country:US
Practice Address - Phone:787-923-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR701235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist