Organization
CLINICAL & NEUROPSYCHOLOGICAL UNIT OF PR,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA E SAN MIGUEL PSY. D. (PRESIDENT)
(787) 963-0256
Entity
Organization
Contact information
Practice address
CANALS STREET #508, UBANIZACION ROOSEVELT , HATO REY, SAN JUAN, PR 00918
(787) 963-0256
(787) 999-9194
Mailing address
PMB 200 #1353 ST. 19, GUAYNABO, PR 00966
(787) 963-0256
(787) 999-9194
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2598
PR
261Q00000X
Clinic/Center
6040
PR
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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