Individual
JHOSEAN XAVIER MALDONADO NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CTIAM PONCE, AVE LOS CABALLEROS PREDIOS SAN LUCAS, PONCE, PR 00730
(787) 840-6630
Mailing address
URB VILLA PARAISO CALLE TACITA #1486, PONCE, PR 00728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15965
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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