Individual
LOURDES A. GONZALEZ VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. MUNOZ RIVERA 1007, EDIFICIO DARLINGTON OFICINA 902, SAN JUAN, PR 00927
(787) 529-1802
Mailing address
AVE. AMERICO MIRANDA 401, COOP LOS ROBLES 806-B, SAN JUAN, PR 00927
(787) 529-1802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2113
PR
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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