Individual
ELISABET AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 CALLE PEREGRINA APT 1, SANTA RITA, SAN JUAN, PR 00925
(787) 359-8694
Mailing address
1006 CALLE PEREGRINA APT 1, URB. SANTA RITA, SAN JUAN, PR 00925
(787) 359-8694
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005215
PR
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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