Individual
JAVIER IRIZARRY MOYET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 8 BOX 45095, AGUADILLA, PR 00603-9717
(787) 374-0703
Mailing address
HC 8 BOX 45095, AGUADILLA, PR 00603-9717
(787) 314-6780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4627
PR
103TC1900X
Counseling Psychologist
Primary
4627
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4627
PSYCHOLOGIST LICENSED
PR
Enumeration date
09/04/2014
Last updated
09/04/2014
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