Individual
DR. BEATRIZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1629 AVE. JUAN PONCE DE LEON, URB CARIBE, SUITE 2, SAN JUAN, PR 00926
(939) 308-4063
Mailing address
PO BOX 261869, SAN JUAN, PR 00926-2648
(939) 308-4063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5691
PR
103TC0700X
Clinical Psychologist
5691
PR
103TC1900X
Counseling Psychologist
5691
PR
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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