Individual
ANGELIVETTE MERCADO MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
CARR 345 KM 2 H 1 EDIF CASA BLANCA, LOCAL 7, HORMIGUEROS, PR 00660-9998
(787) 458-5448
Mailing address
URB BUENAVENTURA, CALLE GARDENIA 4007, MAYAGUEZ, PR 00682-9998
(787) 458-5448
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6086
PR
103TC0700X
Clinical Psychologist
Primary
6086
PR
Other
Enumeration date
04/26/2022
Last updated
12/21/2022
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