# CLINICA DEL DESARROLLO DE LA NINEZ INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407515885
- **Authorized official:** CHARISE JULISSA LOPEZ (SPEECH THERAPIST)
- **Authorized official phone:** (787) 914-1222

## Contact information

- **Practice address:** CALLE MUOZ RIVERA \#16, JUNCOS, PR 00777
- **Practice address phone:** (787) 914-1222
- **Mailing address:** HC 5 BOX 5618, YABUCOA, PR 00767-9682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | — | NULL | — |
| 2355S0801X | Speech-Language Assistant | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 07/21/2022
