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1404 Ave Paz Granela Santiago Iglesias San Juan PR 00921-4131 | |
| (787) 373-7079 | |
| (787) 707-8988 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 1404 Ave Paz Granela, San Juan, Puerto Rico |
| Authorized Official Name and Position | Maria Del Amor Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7876912973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
25 Blvd Media Luna Cond. Parque De Las Flores, Apt. 704 Carolina PR 00987-4822 Ph: (787) 373-7079 | 1404 Ave Paz Granela Santiago Iglesias San Juan PR 00921-4131 Ph: (787) 373-7079 |
| NPI Number | 1538471115 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538471115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 2141 (Puerto Rico) | Primary |
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