Individual
MR. PROVIDENCIO MARTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
EXP. 149 KM 7.5, 600 EDIFICIO DIAZ SUITE 5, MANATI, PR 00674
(787) 884-9289
(787) 884-9289
Mailing address
600 EDIFICIO DIAZ SUITE 5, MANATI, PR 00674
(787) 884-9289
(787) 884-9289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1416
PR
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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