Individual
DR. MIGUEL A LICHA BAQUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
100 CARR 165, CENTRO INTERNACIONAL DE MERCADEO,TORRE I, SUITE 401, GUAYNABO, PR 00968-8047
(787) 781-5061
(787) 781-5092
Mailing address
130 AVE WINSTON CHURCHILL, PMB 128, SAN JUAN, PR 00926-6013
(787) 781-5061
(787) 781-5092
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1199
PR
Other
Enumeration date
07/02/2007
Last updated
07/22/2009
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