Individual
GRISEL CRUZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
183 AVE UNIV INTERAMERICANA, SAN GERMAN, PR 00683-4455
(787) 310-6543
Mailing address
PO BOX 160, SABANA GRANDE, PR 00637-0160
(787) 873-2653
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6201
PR
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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