Individual
SOIDE Y RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
HC 15 BOX 15049, HUMACAO, PR 00791-9472
(860) 752-9460
Mailing address
HC 15 BOX 15049, HUMACAO, PR 00791-9472
(860) 752-9460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004204
CT
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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