Individual
VIVIANNETTE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 AVE NOEL ESTRADA, ISABELA, PR 00662-3275
(787) 669-3815
Mailing address
HC 1 BOX 15330, AGUADILLA, PR 00603-9342
(787) 502-6286
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6828
PR
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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