Individual
DR. FABIOLA SANTOS-VILELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
561 CALLE ENSENADA, APT. 10-A, SAN JUAN, PR 00907-2428
(787) 504-4181
(787) 282-4026
Mailing address
561 CALLE ENSENADA, APT. 10-A, SAN JUAN, PR 00907-2428
(787) 504-4181
(787) 282-4026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1742
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1742
STATE LICENCE
PR
Enumeration date
09/11/2013
Last updated
09/11/2013
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