Individual
DR. MAYRA R ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
CONDADO MODERNO, 13 ST M31, CAGUAS, PR 00725
(787) 448-2145
Mailing address
PMB 1179, PO BOX 6400, CAYEY, PR 00737
(787) 263-6150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2596
PR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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