Organization
CENTRO DE PATOLOGIA DEL HABLA Y DESARROLLO INTEGRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELIS ROSARIO (SLP)
(787) 384-6019
Entity
Organization
Contact information
Practice address
J3 CALLE 1, URB JARDINES I, CAYEY, PR 00736
(787) 384-6019
(787) 384-6019
Mailing address
PO BOX 1484, CIDRA, PR 00739-1484
(787) 384-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1420
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457693095
MARICELIS ROSARIO
PR
Enumeration date
12/18/2017
Last updated
12/18/2017
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