Individual
MISS LISANDRA ORTIZ DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
MIGUEL MELENDEZ MUNOZ 9, CAYEY, PR 00736
(787) 205-6527
(787) 263-7536
Mailing address
HC 43 BOX 11605, CAYEY, PR 00736-9221
(787) 205-6527
(787) 263-7536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2196
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196
LICENCIA
PR
Enumeration date
04/18/2007
Last updated
02/02/2017
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