| NPI | 1972996478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA DE JESUS Owner 787-202-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 887) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |