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Organization
CLINICA DEL DESARROLLO DE LA NINEZ INC
Active
Organization
CLINICA DEL DESARROLLO DE LA NINEZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISE JULISSA LOPEZ (SPEECH THERAPIST)
(787) 914-1222
Entity
Organization
Contact information
Practice address
CALLE MUOZ RIVERA #16, JUNCOS, PR 00777
(787) 914-1222
Mailing address
HC 5 BOX 5618, YABUCOA, PR 00767-9682
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2021
Last updated
07/21/2022
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