Individual
MARILYN M ADAME-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 DE LA VEREDA ST., ESTANCIAS DE JUNCOS, JUNCOS, PR 00777-9778
(787) 925-7033
Mailing address
CAMINO DE LA VEREDA #154, ESTANCIAS DE JUNCOS, JUNCOS, PR 00777-9778
(787) 925-7033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1106
PR
235Z00000X
Speech-Language Pathologist
Primary
732
PR
235Z00000X
Speech-Language Pathologist
SA 8445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106
LICENCE NUMBER
PR
Enumeration date
03/16/2007
Last updated
12/27/2011
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