Individual
DR. GERARDO IVAN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
CALLE B # 60 EXT. LA ALAMEDA, SAN JUAN, PR 00926
(787) 640-3254
Mailing address
CALLE B # 60 EXT. LA ALAMEDA, SAN JUAN, PR 00926
(787) 640-3254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4559
PR
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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