Individual
MRS. MARIA ISABEL DE LA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPL
Contact information
Practice address
267 CALLE SIERRA MORENA, SAN JUAN, PR 00926-5574
(787) 904-0084
Mailing address
267 CALLE SIERRA MORENA, PMB 173, SAN JUAN, PR 00926-5636
(787) 904-0084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CPL4185
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
CPL4185
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81575
DATE OF BIRTH
PR
Enumeration date
12/08/2015
Last updated
01/31/2018
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