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Individual

GISELLE MARTINEZ URRUTIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
46 CALLE ZAUCO, URB LADERAS DE SAN JUAN, SAN JUAN, PR 00926
(787) 565-6708
Mailing address
46 CALLE ZAUCO, URB LADERAS DE SAN JUAN, SAN JUAN, PR 00926
(787) 565-6708

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002412
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002412
LIC
PR
Enumeration date
04/02/2014
Last updated
10/27/2015
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