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Individual

JORGE A MARTINEZ-TORO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CP 796

Contact information

Practice address
2162 BLVD LUIS A FERRE URB VILLA GRILLASCA, PONCE, PR 00717-0722
(787) 840-1110
(787) 840-0003
Mailing address
110 CALLE 5, JARDINES DEL CARIBE, PONCE, PR 00728-4466
(787) 326-0676

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
796
PR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6235
PR
103TC0700X
Clinical Psychologist
Primary
6235
PR

Other

Enumeration date
09/03/2015
Last updated
02/04/2019
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