Individual
ILIANA SEPULVEDA MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
CARR. 3 R906 KO1 INT BUENA VISTA ARRIBA, HUMACAO, PR 00791-4351
(787) 370-1743
Mailing address
CORREO VILLA PMB 254 AA 2 AVENIDA TEJAS, HUMACAO, PR 00791-4351
(787) 370-1743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7635
PR
Other
Enumeration date
02/07/2023
Last updated
02/13/2023
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