Individual
MISS IDELISA MARIE LOPEZ MALAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1327 AVE SAN IGNACIO APT 302, SAN JUAN, PR 00921-3852
(787) 237-0089
Mailing address
1327 AVE SAN IGNACIO APT 302, SAN JUAN, PR 00921-3852
(787) 237-0089
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7814
PR
225A00000X
Music Therapist
—
—
Other
Enumeration date
12/10/2024
Last updated
04/21/2026
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