Individual
MRS. MIRIAM GINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSICOLOGIA
Contact information
Practice address
BO HATO DIEGO CUMBRE CARR 149 KM 5 HECT 1, CIALES, PR 00638-4036
(787) 515-2317
Mailing address
BOX 4036, CIALES, PR 00638-4036
(787) 515-2317
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3760
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3760
LICENSE
PR
Enumeration date
10/18/2010
Last updated
10/18/2010
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