Individual
JOHANNYS MICHELLE PEREZ RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
114 CALLE FELIX ARCE LUGO, SAN GERMAN, PR 00683
(787) 264-1960
Mailing address
HC 5 BOX 46730, VEGA BAJA, PR 00693-9661
(939) 217-1052
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006870
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006870
—
PR
Enumeration date
06/09/2021
Last updated
06/09/2021
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