Individual
DR. MAIRIM VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2431 BLVD LUIS A FERRE, EDIFICIO A. PORRATA PILA SUITE 205, PONCE, PR 00717-2113
(787) 848-5050
Mailing address
2431 BLVD LUIS A FERRE, EDIFICIO A. PORRATA PILA SUITE 205, PONCE, PR 00717-2113
(787) 848-5050
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
005614
PR
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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