Organization
PSICONSULTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALVALIZ SANTANA MA (PSYCHOLOGIST)
(787) 249-0371
Entity
Organization
Contact information
Practice address
638 CALLE LARRINAGA, TRUJILLO ALTO, PR 00976-5948
(939) 437-0553
Mailing address
PO BOX 1216, SAINT JUST, PR 00978-1216
(939) 437-0553
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4339
PR
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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