Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 6459 | PR |
Y | 103TC0700X | Clinical Psychologist | 6459 | PR |
NPI | 1003431735 |
---|---|
Provider Name | Dr. Alexandra Mabel Arocho |
First Address | Trujillo Alto, PR 00976 |
Second Address | San Juan, PR 00920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2020 |
Last Update Date | 20/08/2021 |