Individual
EDGARDO VEGA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 AVE INTERAMERICANA, SAN GERMAN, PR 00683
(787) 644-9817
Mailing address
PO BOX 1419, SAN GERMAN, PR 00683-1419
(787) 644-9817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
255
PR
Other
Enumeration date
05/20/2010
Last updated
09/09/2011
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