Individual
MARIEL ADORNO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
CARR 10 R 651 KM 2.4, SEC EL JUNCO, BO. JUNCOS, ARECIBO, PR 00612-0000
(787) 214-9887
Mailing address
PO BOX 1608, ARECIBO, PR 00613-1608
(787) 956-0062
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6013
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039487800
—
PR
Enumeration date
09/10/2019
Last updated
11/20/2024
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