Individual
DR. MIGUEL A DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.H.D.
Contact information
Practice address
ASSMCA, CALLE FORTALEZA A-4, MOCA, PR 00676
(787) 877-4743
Mailing address
PO BOX 140212, ARECIBO, PR 00614-0212
(787) 877-4767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
959
PR
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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