Individual
MIOSSOTTYS PLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
388 CALLE LUQUILLO, VEGA BAJA, PR 00693-6057
(787) 854-1824
(787) 854-1824
Mailing address
388 CALLE LUQUILLO, VEGA BAJA, PR 00693-6057
(787) 222-2112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4082
PR
Other
Enumeration date
09/18/2017
Last updated
07/30/2020
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