Individual
MRS. MARA TAVERAS PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 AVE J T PINERO, SUITE 203, PUERTO NUEVO, PR 00920-5612
(787) 642-8844
Mailing address
1029 AVE J T PINERO, SUITE 203, PUERTO NUEVO, PR 00920-5612
(787) 642-8844
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2915
PR
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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