Individual
MISS CARLA LUISETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4845 SW 57TH DR, GAINESVILLE, FL 32608-3857
(787) 478-6447
Mailing address
22 URB CAMINO REAL, CAGUAS, PR 00727-9355
(787) 478-6447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004184-1
PR
Other
Enumeration date
08/21/2017
Last updated
03/23/2021
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