Individual
DR. JEANNETTE A. DORTA-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
AVE. DEGETAU BLOQUE D # 7, CAGUAS, PR 00725
(787) 644-4611
Mailing address
PO BOX 19304, SAN JUAN, PR 00910-9304
(787) 644-4611
(787) 722-4731
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2056
PR
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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