Most Relevant Information
Provider Data
| NPI Number: | 1003594722 |
| Provider Name: | EVELYN ROSARIO VEGA MSLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 919 |
Most Important Dates
| Enumeration Date: | 07/11/2023 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
CALLE MIKONOS C#1
URB. MONTE ATENAS
SAN JUAN
PR
00926
Practice Location Phone/Fax
| Phone: | 7874605120 |
| Fax: |
Provider Mailing Location
1300 CALLE ATENAS APT 32
SAN JUAN
PR
009267808
Provider Mailing Phone/Fax
| Phone: | 7874605120 |
| Fax: |