Organization
CARLOS ALBIZU UNIVERSITY
Active
Other names
Albizu University San Juan Campus
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY TIRADO LOPEZ JR. M.S. (INTERN IN CLINICAL PSYCHOLOGY)
(787) 685-9015
Entity
Organization
Contact information
Practice address
151 CALLE TANCA, SAN JUAN, PR 00902
(787) 993-3885
Mailing address
CALLE EIDER #703, LOS ALMENDROS PLAZA TORRE II APT. 407, SAN JUAN, PR 00924
(787) 685-9015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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