Individual
AMANDA SANTIAGO MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HOSPITAL PSIQUIATRICO FORENSE, CALLE CESAR TENIENTE 1106 CENTRO MEDICO, RIO PIEDRAS, PR 00960-7087
(787) 478-9519
Mailing address
HOSPITAL PSIQUIATRICO FORENSE, CALLE CESAR TENIENTE 1106 CENTRO MEDICO, RIO PIEDRAS, PR 00928
(787) 478-9519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13929
PR
Other
Enumeration date
10/28/2019
Last updated
04/03/2024
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