Individual
MR. DEMETRIO J. MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 641-7582
Mailing address
2150 PONCE BYP # PONCE, PASEO DEL VETERANO 1010, PONCE, PR 00716-0300
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004574
PR
Other
Enumeration date
09/16/2011
Last updated
03/02/2017
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