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General NPI Number Information
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NPI Number | 1497632400
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Entity Type | Individual
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Provider Name | YASIRIS CORAL IGLESIAS BD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | #500 PLAZA CHEVRES, STE 4 URB. ALTURAS DE FLAMBOYAN AVE. TINTE. NELSON MARTINEZ
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-501-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 675 CALLE CUEVAS BUSTAMANTE BOX 116
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-501-4427
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 007599
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License Number State | PR
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