Basic Information
| Provider Information | |||||||||
| NPI: | 1831142959 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KOLODZIEJ | ||||||||
| FirstName: | ELAINE | ||||||||
| MiddleName: | FRANCES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1284 | ||||||||
| Address2: | |||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009701284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773535 | ||||||||
| FaxNumber: | 7877773702 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE ROOSEVELT | ||||||||
| Address2: | TORRE DE PLAZA LAS AMERICAS SUITE 402 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009172710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877566560 | ||||||||
| FaxNumber: | 7877567456 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 505 | PR | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.