Individual
DR. NILMARIE MATOS FRADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSICOLOGA
Contact information
Practice address
VILLA BLANCA, CALLE ACERINA 2, CAGUAS, PR 00725
(787) 900-3983
Mailing address
VILLA BLANCA, CALLE ACERINA 2, CAGUAS, PR 00725
(787) 900-3983
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5223
PR
103TA0700X
Adult Development & Aging Psychologist
5223
PR
103TC1900X
Counseling Psychologist
5223
PR
103TM1800X
Intellectual & Developmental Disabilities Psychologist
5223
PR
Other
Enumeration date
06/09/2014
Last updated
01/24/2022
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