| NPI | 1598118564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA AISSA MATTOS Speech And Language Pathologist 787-780-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 003) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 626) |
| 174400000X Specialist (Licence: PR 0155) | |
| 174400000X Specialist (Licence: PR 237) | |
| 174400000X Specialist (Licence: PR 723) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |