Individual
MRS. MIRELLA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
60 CALLE DAGUEY, ANASCO, PR 00610-2603
(787) 229-1222
Mailing address
PO BOX 500, ANASCO, PR 00610-0500
(787) 371-2312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4147
PR
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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