Hernandez De La Rosa, Lourdes

Hernandez De La Rosa, Lourdes is an sole proprietor health care provider with primary practice located at 904 Lee Blvd Unit 106, Lehigh Acres FL 33936-4953. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Hernandez De La Rosa, Lourdes can be contacted via phone (239) 674-9374.

Contact Information

Primary practice address
904 Lee Blvd Unit 106 Lehigh Acres FL 33936-4953
Phone: (239) 674-9374
Fax: (239) 491-3057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SI2391 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ7415 Florida

Profile Details

NPI number 1124439138
LBN Legal business name Hernandez De La Rosa, Lourdes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2014
Last updated Feb 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124439138 NPPES
Florida MEDICAID 016131900

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