Organization
CLINICA DEL DESARROLLO DE LA NINEZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISE JULISSA LOPEZ (SPEECH THERAPIST)
(787) 914-1222
Entity
Organization
Contact information
Practice address
CALLE MUOZ RIVERA #16, JUNCOS, PR 00777
(787) 914-1222
Mailing address
HC 5 BOX 5618, YABUCOA, PR 00767-9682
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
07/21/2022
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