Individual
ILIANYS LASANTA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CALLE ALTURAS, AIBONITO, PR 00705-9802
(787) 359-7640
Mailing address
5 CALLE ALTURAS, AIBONITO, PR 00705-9802
(787) 359-7640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8176
PR
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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