Individual
IVELISSE PINERO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,SLP,CCPLSVT,BOM
Contact information
Practice address
BARALT CALLE MARGINAL, A-49, FAJARDO, PR 00738
(787) 692-2422
Mailing address
URB. CASA BELLA, 35 CALLE NAPOLES, NAGUABO, PR 00718-2826
(787) 692-2422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
908
PR
Other
Enumeration date
07/14/2009
Last updated
05/12/2020
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