Individual
DR. HILKAMIDA DEL CARMEN DOMINGUEZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
NUMBER 2 ANA D PEREZ MARSHAND STREET, INDUSTRIAL REPARADA, PONCE, PR 00732-7004
(787) 840-0052
(787) 284-3619
Mailing address
EXT ALTA VISTA CALLE 27 ZZ-2, PONCE, PR 00731
(787) 284-3619
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2543
PR
Other
Enumeration date
05/09/2007
Last updated
02/20/2008
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