Individual
LAURA C JIMENEZ MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPHL
Contact information
Practice address
13-2 CALLE 13, BAYAMON, PR 00961-4435
(787) 988-5364
Mailing address
13-2 CALLE 13, BAYAMON, PR 00961-4435
(787) 988-5364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
306
PR
251300000X
Local Education Agency (LEA)
306
PR
261QH0100X
Health Service Clinic/Center
306
PR
261QH0700X
Hearing and Speech Clinic/Center
306
PR
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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