Individual
MS. IVANELLE DENISE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., M.S.
Contact information
Practice address
203 GALERIA DE SUCHVILLE, GUAYNABO, PR 00966
(787) 231-6399
Mailing address
URB.REPARTO MARQUEZ, CALLE 9 G-21, ARECIBO, PR 00612
(787) 231-6399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3076
PR
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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