Organization
INSTITUTO DE DESARROLLO INTEGRAL Y EVALUACION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN MARTINEZ NCC (OWNER)
(787) 960-3517
Entity
Organization
Contact information
Practice address
Q-11 AVE. CHUMLEY, TURABO GARDENS, CAGUAS, PR 00727
(787) 364-9880
Mailing address
PO BOX 5442, CAGUAS, PR 00726-5442
(787) 364-9880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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