Individual
INDRID JANETTE MATIAS PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE DE DIEGO E, #54-B ESTE BAJO, MAYAGUEZ, PR 00680-4866
(787) 439-1976
Mailing address
CALLE DE DIEGO, #54-B ESTE BAJO, MAYAGUEZ, PR 00680
(787) 439-1976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3589
PR
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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