Individual
DR. IVAN BAEZ-SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
CARR. 361, KM. 1.4 INTERIOR, SAN GERMAN, PR 00683-2318
(787) 615-0149
Mailing address
PO BOX 2318, SAN GERMAN, PR 00683-2318
(787) 615-0149
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5390
PR
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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