Individual
MS. IDALY HERNANDEZ-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
RIVERSIDE PLAZA, SUITE 17-J SANTA CRUZ ST. #74, BAYAMON, PR 00961-7030
(787) 787-7601
(787) 787-7601
Mailing address
PO BOX 191195, SAN JUAN, PR 00919-1195
(787) 787-7601
(787) 787-7601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002066
PR
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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