Individual
MISS CARMEN ROSA GONZALEZ TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
534
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450020
HUMANA
PR
Enumeration date
05/17/2007
Last updated
08/13/2007
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