Individual
MIRAIDA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 CALLE DR GONZALEZ, ISABELA, PR 00662-2633
(787) 872-8365
Mailing address
HC 1 BOX 6944, MOCA, PR 00676-9553
(787) 312-9153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1232
PR
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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