Individual
DIOANISE RODRIGUEZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
CARR. #2 K.M. 122.5 BO. CAIMITAL ALTO, AGUADILLA, PR 00603
(939) 313-0343
Mailing address
SECTOR TCONES 2017 CALLE CACHE LOPEZ, ISABELA, PR 00662
(787) 605-9699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4437
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6093485
SPEECH AND LANGUAGE PATHOLOGY
PR
Enumeration date
12/27/2022
Last updated
12/27/2022
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