Individual
AILENID ALFONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
HC 1 BOX 7802, HATILLO, PR 00659-9263
(787) 249-3835
Mailing address
HC 1 BOX 7802, HATILLO, PR 00659
(787) 249-3835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
700
PR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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