Individual
MISS VIVIANNA MARIA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
URB RADIOVILLE, AVENIDA RAFAEL COLON CASTRO #2, ARECIBO, PR 00612
(939) 219-8423
Mailing address
16 URB TANAMA, ARECIBO, PR 00612
(787) 210-1852
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5661
PR
Other
Enumeration date
08/23/2018
Last updated
07/18/2025
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