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Individual

MARIA DEL MAR FELICIANO SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
70 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1635
(787) 901-1825
Mailing address
PO BOX 126, PENUELAS, PR 00624-0126
(787) 453-3332

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6772
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6772
LICENCIA
PR
Enumeration date
03/19/2021
Last updated
03/19/2021
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