Individual
MR. JUAN PABLO BENABE VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
PLAZA MONTE REAL SHOPPING CENTER, PR 2 KM 45.6, LOCAL 16, MANATI, PR 00674
(787) 884-4629
(787) 491-0286
Mailing address
PO BOX 193069, SAN JUAN, PR 00919-3069
(787) 761-0036
(787) 491-0286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004238
PR
Other
Enumeration date
05/05/2021
Last updated
05/15/2024
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