Individual
ALICE SANTIAGO MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AA1 CALLE 27 ESQUINA REINA ISABEL, AVE BAIROA, CAGUAS, PR 00726
(787) 645-0085
Mailing address
PO BOX 4956, PMB 299, CAGUAS, PR 00726
(787) 645-0085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
921
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
921
LICENSE
—
Enumeration date
04/01/2010
Last updated
07/21/2022
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