Individual
MARA IBEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
7 CALLE RAUL JULIA, CERRO GORDO HILLS, VEGA ALTA, PR 00692-9000
(787) 648-6911
Mailing address
7 CALLE RAUL JULIA, CERRO GORDO HILLS, VEGA ALTA, PR 00692-9000
(787) 648-6911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
953
PR
Other
Enumeration date
10/05/2010
Last updated
04/17/2013
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