Individual
MR. JOSE ANTONIO LACEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD.
Contact information
Practice address
URB PASEO DEL PRADO, 152 CALLE CAMPESTRE, CAROLINA, PR 00987
(787) 306-0309
Mailing address
PO BOX 40779, MINILLAS STATION, SAN JUAN, PR 00940-0779
(787) 306-0309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006069
PR
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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