Doctor Name: | MARCELLE E CRUZ-PAGAN |
NPI Number: | 1154651339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 3525 |
Business Practice Address: | Luquillo Plaza 14f Luquillo, PR - 007732236 |
Business Phone Number: | 7873542088 |
Business Fax Number: | |
Mailing Address: | Luquillo Plaza 14f Fernandez Garcia, LUQUILLO |
State: | PR |
Postal Code: | 007732236 |
Phone Number: | 7873542088 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |