Individual
CARISSA MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
CARRETERA 866 KM 1.1 LOTE 51 BO. CANDELARIA, TOA BAJA, PR 00949-0094
(787) 200-8858
Mailing address
PO BOX 1792, TOA BAJA, PR 00951-1792
(787) 200-8858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3333
PR
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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