Individual
DR. MICHELLE ORTIZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1607 AVE PONCE DE LEON STE 305, SAN JUAN, PR 00909-1815
(787) 420-2626
(787) 998-1230
Mailing address
1405 PASEO DEGETAU, CAGUAS, PR 00727-2908
(787) 420-2626
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004710
PR
Other
Enumeration date
01/23/2013
Last updated
02/22/2024
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