Individual
DR. IVAN JAVIER VAZQUEZ TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
31 CALLE MAYOR, OFICINA 201, PONCE, PR 00731
(787) 475-9524
Mailing address
ADONAI 3362 CRUZ, 203, PONCE, PR 00717-1621
(787) 475-9524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2452
PR
Other
Enumeration date
02/20/2013
Last updated
03/24/2020
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