Individual
MRS. STEPHANY M ORTIZ MIRANDA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
735 AVE PONCE DE LEON, TORRE DE AUXILIO MUTUO STE 410, SAN JUAN, PR 00917-5025
(787) 704-0705
Mailing address
CONCORDIA GRADENS I, 12-C CALLE LIVORNA, SAN JUAN, PR 00924
(787) 702-2434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8225
PR
104100000X
Social Worker
15228
PR
Other
Enumeration date
09/16/2024
Last updated
03/04/2025
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