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Organization
SUENO DE AMOR LLC
Active
Organization
SUENO DE AMOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO RODRIGUEZ (ADMINISTRATOR)
(787) 219-8168
Entity
Organization
Contact information
Practice address
2613 BLVD LUIS A FERRE, PONCE, PR 00717-2106
(787) 219-8168
Mailing address
2613 BLVD LUIS A FERRE, PONCE, PR 00717-2106
(787) 219-8168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
594
PR
235Z00000X
Speech-Language Pathologist
004038
PR
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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