Individual
DR. CARLOS ALBERTO DIAZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
CARRETERA #2 KM. 86.6, HATILLO, PR 00659
(787) 410-7108
Mailing address
PO BOX 97, HATILLO, PR 00659-0097
(787) 503-3299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004608
PR
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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