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1135 65 Intanteria Ave. Iturregui Plaza Suite 207 San Juan PR 00924-3489 | |
| (787) 640-0358 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1135 65 Intanteria Ave., San Juan, Puerto Rico |
| Authorized Official Name and Position | Sally Quinones (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7876400358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4025 Carolina PR 00984-4025 Ph: (787) 640-0358 | 1135 65 Intanteria Ave. Iturregui Plaza Suite 207 San Juan PR 00924-3489 Ph: (787) 640-0358 |
| NPI Number | 1235541061 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235541061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3285 (Puerto Rico) | Primary |
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