| NPI | 1760753701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN IVELISSE MEDINA Psychologist 787-374-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PR 1914) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |