| NPI | 1629754734 |
|---|---|
| Former Legal Business Name | CENTRO DE TERAPIA INISIA LLC |
| Entity Type | Organization |
| Authorized Contact | NAYDA HERNANDEZ Sole Mbr 787-844-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |