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Individual

MR. TOMAS MAUNEZ IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED. LPC, RN-BSN

Contact information

Practice address
3 CALLE L-16 DIPLO, NAGUABO, PR 00718-0787
(787) 310-2039
Mailing address
PO BOX 787, NAGUABO, PR 00718-0787
(787) 310-2039

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
PR
101YM0800X
Mental Health Counselor
PR
101YP1600X
Pastoral Counselor
PR
101YP2500X
Professional Counselor
Primary
1163
PR
101YS0200X
School Counselor
PR
163W00000X
Registered Nurse
76444G
PR
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
76444G
PR
163WP0808X
Psychiatric/Mental Health Registered Nurse
76444G
PR
163WS0200X
School Registered Nurse
76444G
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58491
COLEGIO DE PROFESIONALES DE ENFERMERIA DE PUERTO RICO
PR
01
764444G
PUERTO RICO DEPARTMENT OF HEALTH - NURSE LIC.
PR
01
LPC 1163
PUERTO RICO DEPARTMENT OF HEALTH - COUNSELOR LIC.
PR
Enumeration date
03/29/2007
Last updated
07/30/2015
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