Individual
MRS. IVELISSE MARIE BERRIOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
759 AVE AVELINO VICENTE, SANTURCE, PR 00909-2538
(787) 724-5559
Mailing address
759 AVE AVELINO VICENTE, SANTURCE, PR 00909-2538
(787) 724-5559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1904
PR
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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