Individual
ANA ROSA DIAZ-MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
CB6 CALLE EUCALIPTOS, RIOHONDO III,, BAYAMON, PR 00961-3422
(787) 613-0290
(787) 785-3985
Mailing address
CB6 CALLE EUCALIPTOS, RIOHONDO III,, BAYAMON, PR 00961-3422
(787) 613-0290
(787) 785-3985
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4258
PR
103TF0200X
Forensic Psychologist
4258
PR
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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