Individual
IVONNE MARIE DIAZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 CALLE SAN JOVINO, URB. SAGRADO CORAZON, SAN JUAN, PR 00926-4212
(787) 747-1374
Mailing address
421 CALLE SAN JOVINO, URB. SAGRADO CORAZON, SAN JUAN, PR 00926
(787) 372-1347
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2163-1
PR
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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