Individual
KAYSSIE MARIE MEDINA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
CARR 164 KM 6.2 BO ACHIOTE SECTOR TANITA MORALES, NARANJITO, PR 00719
(787) 909-4408
Mailing address
PO BOX 673, NARANJITO, PR 00719-0673
(787) 909-4408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4644
PR
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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