Individual
DR. ANA MIRIAN QUINONES MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
PASEO DE LOS GIGANTES, AB 18, LOCAL 5, VALLE ARRIBA HEIGHTS, CAROLINA, PR 00987
(939) 222-0752
Mailing address
514 PASEO ZUMBADOR, COTO LAUREL, PR 00780-2410
(787) 463-4595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6546
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4846697
PR DRIVER'S LICENSE
PR
Enumeration date
07/26/2018
Last updated
09/01/2021
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