Individual
TAMMY IDALIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 CARR 506 STE 201, COTO LAUREL, PR 00780-2936
(787) 601-3541
Mailing address
URB. LAS DELICIAS, 1613 STGO OPPENHEIMER, PONCE, PR 00728-9998
(787) 628-1257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4736
PR
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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