Doctor Name: | DR. MARI GLORIA HAMILTON |
NPI Number: | 1013051549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1268 |
Business Practice Address: | Calle Canada 1324 Antiguo Hospital Veterano Puerto Nuevo San Juan, PR - 00928 |
Business Phone Number: | 7877931550 |
Business Fax Number: | |
Mailing Address: | Orinoco 1607, Apt. 2-b El Paraiso SAN JUAN |
State: | PR |
Postal Code: | 00926 |
Phone Number: | 7877630940 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |