Individual
EDWIN JOEL MEDINA AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
29 VILLA ENCANTADA, CIDRA, PR 00739-9563
(787) 212-9941
Mailing address
29 VILLA ENCANTADA, CIDRA, PR 00739-9563
(787) 212-9941
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6508
PR
Other
Enumeration date
12/31/2019
Last updated
04/07/2021
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