Individual
GRACIELA MARIE CORDERO LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
81 CALLE MORSE # B, ARROYO, PR 00714-2764
(787) 242-5832
Mailing address
HC 1 BOX 6440, ARROYO, PR 00714-9617
(787) 596-3390
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7586
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7586
THERAPIST LICENCE
PR
Enumeration date
04/01/2022
Last updated
04/01/2022
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