Individual
ROXANA M TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BUZON 94 CARR 2 KM 88.3, HATILLO, PR 00659
(787) 402-4500
Mailing address
PO BOX 1290, HATILLO, PR 00659-1290
(787) 402-4500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4304
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4347
—
PR
Enumeration date
01/21/2021
Last updated
01/21/2021
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