Organization
CORPORACION RENACE CREYENDO EN TI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAHAIRA DIAZ M.D. (PSYCHOLOGIST)
(787) 340-5103
Entity
Organization
Contact information
Practice address
H 11 AVE LUIS MUNOZ MARIN SUITE B, URB VILLA DEL CARMEN, CAGUAS, PR 00725
(787) 340-5103
Mailing address
195 CALLE ESPERANZA, URB VILLA ESPERANZA, CAGUAS, PR 00725
(787) 340-5103
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3539
PR
103TP2701X
Group Psychotherapy Psychologist
3539
PR
1041C0700X
Clinical Social Worker
9894
PR
Other
Enumeration date
02/16/2015
Last updated
12/17/2015
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