Individual
ANA I VEGA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
HC 2 BOX 11317, HUMACAO, PR 00791-9609
(787) 210-3539
Mailing address
HC 2 BOX 11317, HUMACAO, PR 00791-9609
(787) 210-3539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
505
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4321
SPEECH LANGUAGE PATHOLOGY
PR
Enumeration date
08/25/2009
Last updated
09/12/2011
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