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Organization

TU ESPACIO PARA CRECER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MIOSSOTTYS PLAZA HERNANDEZ MS (SPEECH AND LANGUAGE PATHOLOGIST)
(787) 222-2112
Entity
Organization

Contact information

Practice address
388 CALLE LUQUILLO, VEGA BAJA, PR 00693-6057
(787) 222-2112
Mailing address
388 CALLE LUQUILLO, VEGA BAJA, PR 00693-6057
(787) 222-2112

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4082
LICENSE NUMBER
PR
Enumeration date
07/10/2020
Last updated
09/23/2025
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