Provider Demographics
NPI:1053295188
Name:VIRUET CORTES, MIRIAM M (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:M
Last Name:VIRUET CORTES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 CALLE EMPERATRIZ
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-5861
Mailing Address - Country:US
Mailing Address - Phone:787-454-6431
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 91500
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-9516
Practice Address - Country:US
Practice Address - Phone:787-454-6431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4578235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist