Individual provider · NPI-1

Lorimar Davila, SLP

Speech-Language Pathologist, · Vega Alta, PR

NPI number1760912406
StatusActive
Last updated in NPPESJun 15, 2017

Details

NPI
1760912406
Entity type
Individual (NPI-1)
Name
Lorimar Davila
Credential
SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 15, 2017
Last updated
Jun 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4016PRYes

Practice location

69d Calle Ruisenor
Bo Santa Rosa
Vega Alta, PR 00692

Phone 787-345-9705

Mailing address

Hc 83 Box 6489
Vega Alta, PR 00692-9709

Phone 787-345-9705

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