Individual
JOHNANDY MACHADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE. VELAZQUEZ P3 URB. BAIROA, CAGUAS, PR 00726
(787) 633-5049
Mailing address
PO BOX 206, GURABO, PR 00778-0206
(787) 633-5048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5820
PR
Other
Enumeration date
11/16/2017
Last updated
04/14/2020
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