Organization
CLINICA HOMEOSTASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA IVETTE DURAND (PRESIDENT)
(501) 247-6326
Entity
Organization
Contact information
Practice address
18 CALLE JOSE ANTONIO FIGUEROA, MAYAGUEZ, PR 00680-6802
(501) 247-6326
Mailing address
415 CALLE LA LOMA, MAYAGUEZ, PR 00680-1484
(501) 247-6326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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