Individual
BENJAMIN COLUCCI BISOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
AVE. DE HOSTOS EDIFICIO OFFICE PARK, SUITE 406 (4TO PISO), MAYAGUEZ, PR 00680
(787) 641-9133
Mailing address
PO BOX 115, ANASCO, PR 00610-0115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6339
PR
Other
Enumeration date
08/27/2019
Last updated
09/04/2025
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