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Individual

MISS ADA NYDIA TUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
104 CALLE RELAMPAGO, EDIF. CENTRO DEL OESTE, MAYAGUEZ, PR 00680-0000
(787) 458-2794
Mailing address
8 CALLE DUARTE, MAYAGUEZ, PR 00682-1133
(787) 832-1148
(787) 265-5583

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1585
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1050397
CIGNA
PR
01
1574
APS HUMANA
PR
Enumeration date
04/24/2007
Last updated
10/16/2015
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