Individual
RENE JAVIER PEREZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3218 AVE EMILIO FAGOT, PONCE, PR 00730-4603
(787) 233-3786
Mailing address
3218 AVE EMILIO FAGOT, PONCE, PR 00730-4603
(787) 233-3786
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7730
PR
Other
Enumeration date
10/31/2023
Last updated
05/28/2024
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