Individual
JOHN MANUEL SERRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 414 INT 4412 KM 3.8, BO CRUCES, AGUADA, PR 00602
(939) 267-4166
Mailing address
HC 57 BOX 10135, AGUADA, PR 00602
(939) 267-4166
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
6075
PR
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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