Individual
CESAR LEONEL IBAN-CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE. PRINCIPAL BARALT, G-24, FAJARDO, PR 00738
(787) 863-7008
Mailing address
URB. MONTE BRISAS, ST. F-J16, FAJARDO, PR 00738
(787) 206-0150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6798
PR
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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