Individual
JOMAYRA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S PHL
Contact information
Practice address
546 COM CARACOLES 2, PENUELAS, PR 00624
(787) 379-3865
Mailing address
546 COM CARACOLES 2, PENUELAS, PR 00624-2555
(787) 379-3865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1018
PR
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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