Individual
EIDA ENID ALTRECHE TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
SUITE 11 CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA EM, 112 KM 1.4 AVE. AGUSTIN RAMOS CALERO BO. MORA, ISABELA, PR 00662
(787) 932-0110
Mailing address
SUITE 11 CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA), 112 KM 1.4 AVE. AGUSTIN RAMOS CALERO, ISABELA, PR 00662
(787) 932-0110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007312
PR
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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