Individual
MARVIN MARQUEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
CALLE #1 995 METRO MEDICAL CENTER SUITE 801-A, BAYAMON, PR 00959-9998
(939) 368-0578
Mailing address
PO BOX 1889, PONCE, PR 00728-1889
(939) 368-0578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7570
PR
103TC2200X
Clinical Child & Adolescent Psychologist
7570
PR
103TS0200X
School Psychologist
7570
PR
Other
Enumeration date
04/27/2023
Last updated
10/15/2024
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