Organization
MOLLITIAM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE MARIE MARTINEZ MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(787) 362-0367
Entity
Organization
Contact information
Practice address
CARRETERA PR 3 KM. 27.0, BARRIO JIMENEZ, RIO GRANDE, PR 00745
(939) 465-1469
Mailing address
PO BOX 1504, FAJARDO, PR 00738-9998
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2024
Last updated
10/31/2025
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