Individual
MRS. IRIS B MANOSA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 AVE PONCE DE LEON, SUITE 214, SAN JUAN, PR 00917
(787) 503-5121
Mailing address
600 BLVD DE LA MONTANA, APARTADO 464, SAN JUAN, PR 00926-7106
(787) 449-0431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
664
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664
STATE LICENCE IN SPEECH/LANGUAGE PATHOLOGY
PR
Enumeration date
08/22/2008
Last updated
06/29/2017
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