Individual
DORALIS SOTO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHL
Contact information
Practice address
CALLE SERGIO PENA ALMODOVAR 103, HUMACAO, PR 00791
(787) 719-4499
Mailing address
CONDOMINIO PARQUE SAN ANTONIO 1, APT 1806, CAGUAS, PR 00727
(787) 218-6636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004389
PR
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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