Most Relevant Information
Provider Data
| NPI Number: | 1003015256 |
| Provider Name: | VIVIAN SOFIA HERNANDEZ M.S. SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 784 |
Most Important Dates
| Enumeration Date: | 07/17/2007 |
| Last Updated: | 08/18/2011 |
Provider Practice Location
GAVIOTA C-6 TIERRALTA 1
GUAYNABO
PR
00969
Practice Location Phone/Fax
| Phone: | 7877319619 |
| Fax: |
Provider Mailing Location
GAVIOTA C-6 TIERRALTA 1
GUAYNABO
PR
00969
Provider Mailing Phone/Fax
| Phone: | 7877319619 |
| Fax: |