Individual
OTTO AGUSTIN BERDIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1801 AVE PONCE DE LEON STE 411, SAN JUAN, PR 00909-1917
(787) 509-6100
(787) 292-0521
Mailing address
70 VIA ROMA, TRUJILLO ALTO, PR 00976-6105
(787) 509-6100
(787) 292-0521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
831
PR
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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