1013270842 NPI number — MS. MARIA DEL ROSARIO LOAIZA M.A., CCC/SLP

Table of content: MS. MARIA DEL ROSARIO LOAIZA M.A., CCC/SLP (NPI 1013270842)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013270842 NPI number — MS. MARIA DEL ROSARIO LOAIZA M.A., CCC/SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOAIZA
Provider First Name:
MARIA DEL ROSARIO
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., CCC/SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOAIZA
Provider Other First Name:
ROSARIO
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., CCC/SLP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013270842
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
61-45 98TH. STREET,
Provider Second Line Business Mailing Address:
# 11M
Provider Business Mailing Address City Name:
REGO PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-760-3168
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61-45 98TH. STREET,
Provider Second Line Business Practice Location Address:
# 11M
Provider Business Practice Location Address City Name:
REGO PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11374-1433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-760-3168
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2355S0801X , with the licence number:  00416060-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2355S0801X , with the licence number: 004160-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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