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Organization

SERVICIOS TERAPEUTICOS MAYARI, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA AISSA MATTOS MS (SPEECH AND LANGUAGE PATHOLOGIST)
(787) 780-6006
Entity
Organization

Contact information

Practice address
SANTA ROSA MALL, OFIC 202B, BAYAMON, PR 00959-0000
(787) 780-6006
Mailing address
SANTA ROSA MALL, OFIC 202B, BAYAMON, PR 00959
(787) 780-6006

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003
PR
174400000X
Specialist
0155
PR
174400000X
Specialist
237
PR
174400000X
Specialist
626
PR
174400000X
Specialist
723
PR

Other

Enumeration date
07/14/2016
Last updated
07/14/2016
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