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Individual

DR. IVAN RAUL ALICEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSICOLOGO

Contact information

Practice address
CENTRO SALUD MENTAL DE MAYAGUEZ, 410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 831-3714
(787) 831-3714
Mailing address
QUINTAS DE CABO ROJO #168, CALLE CISNE, CABO ROJO, PR 00623
(787) 254-0277
(787) 831-3714

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2517
PR

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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