Individual
MAISHA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 173 KM. 11.9, BO RABANAL, CIDRA, PR 00739
(787) 407-8221
Mailing address
PO BOX 372213, CAYEY, PR 00737-2213
(787) 407-8221
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2040
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040
SPEECH LANG PATH ASSISTANT
PR
Enumeration date
05/16/2014
Last updated
05/16/2014
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