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Individual

MS. KARINA LISSETTE CRUZ SERRANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSC

Contact information

Practice address
CALLE PADRE RIVERA 15 OESTE, HUMACAO, PR 00791
(787) 529-1559
Mailing address
PO BOX 7793, PONCE, PR 00732-7793
(787) 284-5884

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7785
PR
174H00000X
Health Educator
6435036

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6435036
LICENSE
Enumeration date
07/29/2022
Last updated
01/03/2024
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