Individual
VIVIANA MARIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
URB EL NARANJAL CALLE 1 F6, TOA BAJA, PR 00949-0000
(787) 370-4532
Mailing address
URB EL NARANJAL CALLE 1 F6, TOA BAJA, PR 00949-0000
(787) 370-4532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1049
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4742618
DRIVER LICENSE
PR
01
—
4742618
DRIVER LICENSE
—
Enumeration date
10/09/2019
Last updated
10/09/2019
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