Individual
DR. IVELISSE J. MALDONADO-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
CENTRO INTERNACIONAL DE MERCADEO, TORRE 1 SUITE 401, GUAYNABO, PR 00966
(787) 448-2363
Mailing address
K6 CALLE RIO BLANCO, RIO HONDO 1, BAYAMON, PR 00961-3443
(787) 448-2363
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003256
PR
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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