Gerardo Augusto Cubano Calderon, Ph.D
Psychologist, Clinical in Guaynabo, PR. Individual provider (NPI-1).
NPI number1235239658
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235239658
- Entity type
- Individual (NPI-1)
- Name
- Gerardo Augusto Cubano Calderon
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1407 | PR | Yes |
Practice location
D12 Calle Buen SamaritanoGuaynabo, PR 00966-2025
Phone 787-783-0610 · Fax 787-783-0686
Mailing address
321 Calle Gonzalo BerceoSan Juan, PR 00926-6918
Phone 787-292-4761 · Fax 787-783-0686
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