Individual provider · NPI-1

Jose Alfredo Aquino Sr., MA

Psychologist · Guaynabo, PR

NPI number1073679700
StatusActive
Last updated in NPPESDec 30, 2018

Details

NPI
1073679700
Entity type
Individual (NPI-1)
Name
Mr. Jose Alfredo Aquino Sr.
Credential
MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 28, 2006
Last updated
Dec 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist1772PRYes

Practice location

140 Ave Las Cumbres Ste 201
Guaynabo, PR 00969-5527

Phone 787-235-9030 · Fax 782-287-3509

Mailing address

Po Box 486
Guaynabo, PR 00970-0486

Phone 787-235-9030 · Fax 787-287-3509

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