Individual
EZEQUIEL MAISONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
MINDFUL HEALING PSYCHOTHERAPY CLINIC LLC, AGUADA COMPLEX SUITE 5 CARR 115 KM 24.5 BO ASOMANTE, AGUADA, PR 00602
(787) 487-9086
Mailing address
PO BOX 5000, SUITE 946, AGUADA, PR 00602-7003
(787) 438-4823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8765
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
09/01/2023
Last updated
01/12/2026
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