Individual
CORALYS SANTIAGO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. COTTO NORTE, URB. VILLA MARIA B-4, MANATI, PR 00674
(787) 915-3000
Mailing address
HC 2 BOX 6265, MOROVIS, PR 00687-8810
(787) 664-8185
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7515
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6764262
ID
PR
Enumeration date
11/24/2020
Last updated
02/20/2025
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