Individual
MS. LISANDRA MEDINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
STREET # 2 AVE. MIRAMAR KM 79.4, #1141, ARECIBO, PR 00612
(787) 817-0597
Mailing address
ROAD # 492 KM, 2.7 STREET LOS MARTINEZ II, HATILLO, PR 00659-0098
(787) 619-6925
(787) 898-0002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001325
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM 74003622
TRIPLE-S
PR
Enumeration date
08/13/2013
Last updated
08/13/2013
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