Individual
MRS. JOHANA M. ESTRADA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
CALLE RVDO. DOMINGO MARRERO NAVARRO, EDIFICIO #5, 3ER PISO, SAN JUAN, PR 00925
(787) 688-6031
Mailing address
URB VALLE ARRIBA HEIGHTS, O16 CALLE EUCALIPTO, CAROLINA, PR 00983
(787) 688-6031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6209
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6209
LICENSURE PSYCHOLOGIST
PR
05
—
LG427
—
PR
Enumeration date
07/11/2018
Last updated
06/25/2019
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