Individual
LUZ RISEX MANGUAL MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLT
Contact information
Practice address
AQUAMARINA #66 VILLA BLANCA, CAGUAS, PR 00725
(787) 743-1047
Mailing address
PO BOX 7217, CAROLINA, PR 00986
(939) 640-5509
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
502
PR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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