Provider Demographics
NPI:1295084614
Name:RIVERA CUADRA, ALEJANDRA (SLP)
Entity type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:
Last Name:RIVERA CUADRA
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 1:555 W 53RD ST APT 849
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5959
Mailing Address - Country:US
Mailing Address - Phone:914-920-0403
Mailing Address - Fax:
Practice Address - Street 1:555 W 53RD ST APT 849
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5959
Practice Address - Country:US
Practice Address - Phone:914-920-0403
Practice Address - Fax:914-663-7075
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023994235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist