Individual
JAILENE MARTINEZ CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 493 KM 0.9, BO. CARRIZALES, HATILLO, PR 00659
(939) 273-7555
Mailing address
URB. LOS PINOS, CALLE CIPRES MEJICANO # 27, ARECIBO, PR 00612
(787) 405-4819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004359
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4881270
DRIVER LICENSE
PR
Enumeration date
07/29/2022
Last updated
07/29/2022
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