Individual
ELIXMAHIR DAVILA-MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CALLE 2 E, URB. SANTA CRUZ, BAYAMON, PR 00961-3516
(787) 354-6300
Mailing address
RR 4 BOX 1273, BAYAMON, PR 00956-9429
(787) 354-6300
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2641
PR
103TC0700X
Clinical Psychologist
2641
PR
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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