Individual
CAROLINA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 CALLE TAFT, APT 7A, SAN JUAN, PR 00911-1270
(787) 459-6582
Mailing address
50 CALLE TAFT APT 7A, SAN JUAN, PR 00911
(787) 459-6582
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5491
PR
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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