Individual
MARIBEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1510 AVE. ROOSEVELT, MEZANINE, ED. TRIPLE S PLAZA, GUAYNABO, PR 00968
(787) 529-3050
Mailing address
1353 AVE LUIS VIGOREAUX, 580 PMB, GUAYNABO, PR 00966-2715
(787) 529-3050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2110
PR
103TB0200X
Cognitive & Behavioral Psychologist
2110
PR
103TC0700X
Clinical Psychologist
Primary
2110
PR
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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