Individual
JUANA P CASTILLO MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1007 AVE MUNOZ RIVERA STE 1001, SAN JUAN, PR 00925-2724
(787) 957-5788
Mailing address
1007 AVE MUNOZ RIVERA APT 706, SAN JUAN, PR 00925-2723
(787) 425-9885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005405
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005405
PUERTO RICO PHSICOLOGIST LICENCE
PR
01
—
160126
REGISTRY NUMBER
PR
Enumeration date
11/28/2017
Last updated
03/06/2020
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