Individual
ILEANA LARACUENTE ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. TEJAS 90 KM. 5, APS CLINICS PR, HUMACAO, PR 00791
(787) 641-0774
(787) 641-0776
Mailing address
PO BOX 71474, APS HEALTHCARE PR, SAN JUAN, PR 00936-8574
(787) 641-0774
(787) 641-0776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1619
PR
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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