Individual
LUIS RAUL PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
CARR 1000, MANSIONES I 2, CABO ROJO, PR 00623-0146
(787) 891-2360
Mailing address
PO BOX 146, CABO ROJO, PR 00623-0146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
377
PR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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