Individual
IVELISSE ALVARADO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LEGACY OFFICE PARK, SUITE 102, COTO LAUREL, PR, PONCE, PR 00780
(787) 813-2222
Mailing address
HC 1 BOX 10364, PENUELAS, PR 00624-9729
(787) 316-7897
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2927
PR
Other
Enumeration date
02/03/2013
Last updated
12/04/2013
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