Individual
MAHELIZ PELLOT-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5724
(787) 932-7817
Mailing address
HC 8 BOX 24711, AGUADILLA, PR 00603-9652
(787) 932-7817
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4163
PR
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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