Organization
CENTRO DE TERAPIAS YABISI, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RAQUEL MARRERO ALFONZO THL (PRESIDENT)
(787) 597-6367
Entity
Organization
Contact information
Practice address
CALLE 2 KM 93.3, BO MEMBRILLO, CAMUY, PR 00627
(787) 597-6367
Mailing address
PO BOX 1035, CAMUY, PR 00627-1035
(787) 597-6367
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1440
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351988
TREASURY DEPARMENT
PR
Enumeration date
04/29/2015
Last updated
04/29/2015
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