Individual
DR. AMIDCAR JOSE MATOS IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1413 AVE FERNANDEZ JUNCOS SUITE 3C, SAN JUAN, PR 00909-2616
(787) 362-3080
Mailing address
URH TINTILLO GARDENS CALLE 6 H-16, GUAYNABO, PR 00966-0000
(787) 362-3080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002415
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039710100
—
PR
Enumeration date
11/02/2006
Last updated
06/28/2024
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