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Individual

DR. ABDIEL CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
AVE. RIOS ROMAN, #59 SUITE 23, TOA BAJA, PR 00951-0000
(787) 448-6007
Mailing address
PO BOX 610, SABANA SECA, PR 00952-0610
(787) 448-6007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3861
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2113762
LICENCE
PR
Enumeration date
05/17/2011
Last updated
05/17/2011
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