Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3973 | PR |
NPI | 1083903827 |
---|---|
Provider Name | Miguel Angel Cuevas Figueroa |
First Address | San Lorenzo, PR 00754 |
Second Address | San Lorenzo, PR 00754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 18/11/2020 |