Individual
NICOLE J PUENTE CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE CESAR GONZALEZ 1108, RIO PIEDRAS, PR 00928
(787) 758-8019
Mailing address
268 CALLE DEL VALLE, SAN JUAN, PR 00912-4106
(787) 587-2398
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6876
PR
Other
Enumeration date
03/29/2021
Last updated
03/30/2021
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