Individual
OMAR ANTONIO SAMOT CRUZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 RUTA 474, ISABELA, PR 00662-4023
(939) 323-0563
Mailing address
PO BOX 2537, ISABELA, PR 00662-9537
(939) 717-1653
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7453
PR
Other
Enumeration date
07/18/2022
Last updated
02/24/2024
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