Organization
PROFESSIONAL CONSULTANT OF AFFECTIVE LABOR AN EDUCATIONAL TRAINING COR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGDALIA SANTOS MIRANDA PSY-D (PRESIDENT)
(787) 587-3801
Entity
Organization
Contact information
Practice address
CORRETERA 159 KILOMETRO 15.0, BO BORRIO PUEBLO, COROZAL, PR 00783
(787) 587-3801
(787) 859-7802
Mailing address
UR. COO BRISAS CALLE 7M-16, COROZAL, PR 00783
(787) 587-3801
(787) 859-7802
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3683
PR
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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