Provider Demographics
NPI:1366058679
Name:QUESADA, MARIA (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:QUESADA
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:URB. LA RAMBLA SIERVAS DE MARIA
Mailing Address - Street 2:1760
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-4072
Mailing Address - Country:US
Mailing Address - Phone:787-690-2732
Mailing Address - Fax:
Practice Address - Street 1:URB. LA RAMBLA SIERVAS DE MARIA
Practice Address - Street 2:1760
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4072
Practice Address - Country:US
Practice Address - Phone:787-690-2732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004282235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty