Individual
IVELINDA MIRANDA LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
BDA POLVORIN, CALLE 11 APT 6, CAYEY, PR 00736
(787) 388-6320
Mailing address
BDA POLVORIN, CALLE 11 APT 6, CAYEY, PR 00736
(787) 388-6320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15432
PR
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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