Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 5339 | PR |
Y | 103TC1900X | Counseling Psychologist | 5339 | PR |
NPI | 1124527486 |
---|---|
Provider Name | Dr. David Jesus Alcala Perez |
First Address | Bayamon, PR 00956 |
Second Address | Guaynabo, PR 00969-5130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2018 |
Last Update Date | 18/02/2020 |