Individual
XAIRA IVETTE MATEO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
1935 AVE LAS AMERICAS, URB SAN ANTONIO, PONCE, PR 00728
(787) 843-7808
(787) 813-0798
Mailing address
PO BOX 9016, PONCE, PR 00732-9016
(787) 843-7808
(787) 813-0798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4027
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4027
MEDICAL LICENSE
PR
Enumeration date
09/15/2017
Last updated
09/15/2017
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