Individual
MISS TATIANA E CARDONA MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
CARR 2 KM 96.8 LOCAL 202, BO COCOS, QUEBRADILLAS, PR 00678-9319
(787) 895-2895
Mailing address
22620 CALLE FELIPE MERCADO, QUEBRADILLAS, PR 00678-7239
(787) 452-4634
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7130
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103T00000X
—
PR
Enumeration date
08/26/2022
Last updated
09/11/2025
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