Organization
REVIVE HOLISTIC PSYCHOLOGY & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ROLDAN PSY. (PSYCHOLOGIST)
(787) 562-6500
Entity
Organization
Contact information
Practice address
169 BUTARE AVE #1, PLAZA REAL 207, GUAYNABO, PR 00969
(787) 562-6500
Mailing address
570 LA MANCHA MANS. CIUDAD JARDIN, CAUAS, PR 00727-1430
(787) 562-6500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005152
PR
Other
Enumeration date
07/09/2013
Last updated
08/30/2013
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