Individual
DR. JONATHAN MADERA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
BO. CIBAO SECTOR FINCA LOS ROBLES, CARR. 119 RAMAL 455 K 10.2, SAN SEBASTIAN, PR 00685
(787) 436-1394
Mailing address
HC 4 BOX 44285, LARES, PR 00669-9592
(787) 436-1394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6661
PR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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