Marilu Alonso, | |
3364 Beyer Blvd, San Ysidro, CA 92173-1322 | |
(161) 920-5458 | |
Not Available |
Full Name | Marilu Alonso |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3364 Beyer Blvd, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043787344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 37253 (California) | Primary |
Provider Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
---|---|
Marilu Alonso, 1840 Cindy St, San Diego, CA 92154-1134 Ph: (619) 831-9580 | Marilu Alonso, 3364 Beyer Blvd, San Ysidro, CA 92173-1322 Ph: (161) 920-5458 |
Ms. Ruth Evelyn Rivera, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4350 Otay Mesa Rd, San Ysidro, CA 92173 Phone: 619-428-4476 Fax: 619-428-1393 | |
Mr. Sam Sardo, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4350 Otay Mesa Rd, San Ysidro, CA 92173 Phone: 619-428-4476 | |
Ms. Marjorie Giselle Palacios, SPEECH, LANGUAGE PAT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4350 Otay Mesa Rd, San Ysidro, CA 92173 Phone: 619-428-4476 |