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Organization

THERAPEUTICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARICARMEN FONTANET (PRESIDENT)
(787) 594-1126
Entity
Organization

Contact information

Practice address
B5 CALLE CORCHADO, AVE. JOSE VILLARES URB. PARADIS, CAGUAS, PR 00725-2622
(787) 594-1126
Mailing address
P.O. BOX 4956, PMB 2105, CAGUAS, PR 00726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1262
PR

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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