Individual
MYRTA ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
NUM UIC N, SAN JUAN, PR 00935-0001
(787) 754-2525
Mailing address
HC 71 BOX 7248, CAYEY, PR 00736-9556
(787) 754-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
489
PR
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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