Individual
MR. CHRISTIAN WILLIAM MIRANDA-LOZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 CALLE GARZAS, ADJUNTAS, PR 00601
(787) 829-2910
Mailing address
PO BOX 1003, CASTANER, PR 00631-1003
(787) 829-5010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8203
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2020
Last updated
02/01/2025
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