Individual
MADELYN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
A-6 AVE. MMM, CAYEY, PR 00736-0052
(787) 607-2636
Mailing address
PO BOX 52, LA PLATA, PR 00786-0052
(787) 607-2636
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4652
PR
1041C0700X
Clinical Social Worker
6728
PR
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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