| NPI | 1992094981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GAVILAN Directora Clinica/T.O 787-292-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: PR 810) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 689) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |