Individual
IDALMYS DIAZ MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
R1-17 CALLE H, TURABO GARDENS III, CAGUAS, PR 00727-5946
(787) 603-7012
(787) 603-7012
Mailing address
R1-17 CALLE H, TURABO GARDENS III, CAGUAS, PR 00725
(787) 603-7012
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5438
PR
Other
Enumeration date
02/13/2014
Last updated
08/15/2014
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