Individual
BIANMARIE MONTOSA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THL
Contact information
Practice address
CARR. 123 MAGUEYES PR, PONCE, PR 00731
(787) 598-0323
Mailing address
HC 4 BOX 8063, VILLALBA, PR 00766
(787) 963-7924
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7406
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994723
LICENCIA
PR
05
—
4994723
—
PR
01
—
7406
PROFESIONAL LICENSE
PR
Enumeration date
01/26/2021
Last updated
01/26/2021
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