Individual
WILFREDO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BO SANTANA CARR #2 KM 67.3, SUITE #2, ARECIBO, PR 00612
(787) 816-1212
Mailing address
PO BOX 143075, ARECIBO, PR 00614-3075
(787) 644-9029
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6816
PR
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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