Individual
IDELIZ MATOS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
URB EL CEREZAL 1658 CALLE SALUEN, SAN JUAN, PR 00926
(787) 903-2278
Mailing address
SALUEN 1658, EL CEREZAL, SAN JUAN, PR 00926
(787) 903-2278
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
5488
PR
Other
Enumeration date
03/03/2014
Last updated
09/28/2022
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