Individual
DR. WANDA C LUCIANO ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
412 CALLE DEL RIO, SANTURCE, PR 00912-4234
(787) 463-8310
Mailing address
412 CALLE DEL RIO, SANTURCE, PR 00912-4234
(787) 463-8310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3000
PR
Other
Enumeration date
03/05/2008
Last updated
10/25/2010
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