Individual
MRS. THAISAI ILIANA SOTOMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PHL
Contact information
Practice address
HC 4 BOX 45183, AGUADILLA, PR 00603-9755
(787) 882-0738
Mailing address
HC 4 BOX 45183, AGUADILLA, PR 00603-9755
(787) 882-0738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
550
PR
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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