Individual
DR. ROBERTO IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
CALLE CRUZ ORTIZ STELLA 126, HUMACAO, PR 00721
(787) 649-6773
Mailing address
PO BOX 1225, COAMO, PR 00769-1225
(787) 649-6773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3887
PR
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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