Individual
MRS. RAQUEL IVELISSE LOPEZ CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSIC
Contact information
Practice address
ENRIQUE MANGUAL CANOVANAS MALL, OFICINA LOCAL 14, CANOVANAS, PR 00729
(787) 344-1277
Mailing address
VILLAS DE LOIZA, CALLE 28A TT21, CANOVANAS, PR 00729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6375
PR
Other
Enumeration date
03/02/2020
Last updated
02/17/2023
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