Individual
LILIANA I RIVERA GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.S.L.P.
Contact information
Practice address
CALLE BRASIL # B-27, URB GARDENVILLE, GUAYNABO, PR 00966
(787) 782-9834
(787) 982-0091
Mailing address
CALLE BRASIL B-27, URB GARDENVILLE, GUAYNABO, PR 00966
(787) 782-9834
(787) 982-0091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
843
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843
LICENSE
PR
Enumeration date
05/05/2009
Last updated
05/05/2009
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