Individual
TAINA JIMENEZ-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
862 CALLE ESTEBAN GONZALEZ, CONDOMINIO UNIVERSITARIO APTO. 10B, SAN JUAN, PR 00925-2309
(787) 508-8984
Mailing address
862 CALLE ESTEBAN GONZALEZ, CONDOMINIO UNIVERSITARIO APTO. 10B, SAN JUAN, PR 00925-2309
(787) 508-8984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8339
MA
235Z00000X
Speech-Language Pathologist
Primary
974
PR
Other
Enumeration date
08/19/2014
Last updated
02/07/2017
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