Individual
ILEANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ACUARIO, URB LOMAS DEL SOL, GURABO, PR 00778
(939) 717-8333
Mailing address
2 ACUARIO, URBANIZACION LOMAS DEL SOL, GURABO, PR 00778
(939) 717-8333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4280
PR
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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