Individual
DR. LUIS KELIAN HERNANDEZ MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5623 PASEO MOREL CAMPOS, PONCE, PR 00728-2455
(787) 813-5700
Mailing address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 813-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7364
PR
390200000X
Student in an Organized Health Care Education/Training Program
PROCESS
—
Other
Enumeration date
11/12/2018
Last updated
03/08/2023
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