Individual
MR. LUIS DANIEL RIVERA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 URB CATALANA, BARCELONETA, PR 00617-2725
(787) 421-8324
Mailing address
PO BOX 214, BARCELONETA, PR 00617-0214
(787) 436-4279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1036
PR
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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