Individual
ESMERALDA CASTILLO VELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2166
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219039
PREFERRED HEALTH
PR
01
—
2845
APS
PR
01
—
542478
FHC HEALTH SYSTEMS
PR
01
—
57256CA
TRIPLE S
PR
Enumeration date
10/28/2006
Last updated
12/21/2009
Update your record
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