Individual
MARIEMYR ORTIZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920-2804
(787) 662-5245
Mailing address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920-2804
(787) 662-5245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13063
PR
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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