Individual
MRS. MAYRA E. DAVILA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE: MONTE CARLO # 34354 PARCELA B FINCA MARIEM, SAN JUAN, PR 00929-1194
(787) 608-0652
Mailing address
PO BOX 30194, SAN JUAN, PR 00929-1194
(787) 608-0652
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6479
PR
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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