Individual
IVETTE M DIAZ-MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
VICK CENTER B 102, 867 AVE MUNOZ RIVERA, SAN JUAN, PR 00925-2140
(939) 244-7950
Mailing address
SANTA CLARA, S 21 PALMA REAL ST, GUAYNABO, PR 00969-6819
(939) 244-7950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3215
PR
Other
Enumeration date
04/06/2009
Last updated
08/10/2021
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