Individual
MARISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 CALLE SAN JOAQUIN, SAN JUAN, PR 00926-5337
(787) 632-7688
Mailing address
1880 CALLE SAN JOAQUIN, SAN JUAN, PR 00926-5337
(787) 632-7688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1423
PR
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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