Individual
DR. LOURDES MORENO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
CALLE TOMAS DAVILA MARTINEZ 1, BARCELONETA, PR 00617
(787) 370-7370
Mailing address
PO BOX 901, BARCELONETA, PR 00617-0901
(787) 370-7370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3602
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
II799Y
—
PR
Enumeration date
01/25/2010
Last updated
05/14/2020
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