Individual
MRS. IDALIS LOPEZ RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1162 CALLE FINLANDIA, PLAZA DE LAS FUENTES, TOA ALTA, PR 00953
(787) 648-9596
Mailing address
1162 CALLE FINLANDIA, PLAZA DE LAS FUENTES, TOA ALTA, PR 00953
(787) 648-9596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
785
PR
Other
Enumeration date
09/18/2013
Last updated
04/04/2019
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