Individual
IVONNE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
AVE FERNANDEZ JUNCES EDF, CAROLINA, PR 00985
(787) 762-4099
Mailing address
PO BOX 71474, SAN JUAN, PR 00936-8574
(787) 641-0773
(787) 641-2749
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
113609
PR
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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