Most Relevant Information
Provider Data
NPI Number: | 1003041237 |
Provider Name: | ADA I KERCADO M.ED. |
Entity Type: | Individual |
Taxonomy Code: | 103TS0200X |
Specialty: | Psychologist |
License Number: | 1957 |
Most Important Dates
Enumeration Date: | 05/18/2009 |
Last Updated: | 05/18/2009 |
Provider Practice Location
URB. ESTANCIAS DE YAUCO CALLE CIRCONIA M3
YAUCO
PR
006982749
Practice Location Phone/Fax
Phone: | 7872674016 |
Fax: | 7872674016 |
Provider Mailing Location
ESTANCIAS DE YAUCO CALLE CIRCONIA M3
YAUCO
PR
00698
Provider Mailing Phone/Fax
Phone: | 7872674016 |
Fax: | 7872674016 |