Organization
INSTITUTO DE CAPACITACION Y DESARROLLO PROFESIONAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL M COLON (PRESIDENTE)
(787) 513-7908
Entity
Organization
Contact information
Practice address
1606 AVE. PONCE DE LEON, SUITE 1005, SAN JUAN, PR 00909-2839
(787) 513-7908
(787) 724-6604
Mailing address
1606 AVE PONCE DE LEON, SUITE 1005, SAN JUAN, PR 00909-1849
(787) 513-7908
(787) 724-6604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
06/17/2014
Last updated
11/19/2014
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