Individual
DENISSE FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
URB VILLAS DE RIO GRANDE, CALLE GARCIA DE LA NOCEDA B-18, RIO GRANDE, PR 00745
(787) 887-2555
Mailing address
URB VILLAS DE RIO GRANDE, CALLE GARCIA DE LA NOCEDA B-18, RIO GRANDE, PR 00745
(787) 887-2555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
668
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668
PROFFESIONAL LICENSE
PR
Enumeration date
07/29/2009
Last updated
05/07/2014
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