Most Relevant Information
Provider Data
| NPI Number: | 1003384744 |
| Provider Name: | LUIS KELIAN HERNANDEZ MUNIZ PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | PROCESS |
Most Important Dates
| Enumeration Date: | 11/12/2018 |
| Last Updated: | 03/08/2023 |
Provider Practice Location
5623 PASEO MOREL CAMPOS
PONCE
PR
007282455
Practice Location Phone/Fax
| Phone: | 7878135700 |
| Fax: |
Provider Mailing Location
388 ZONA IND REPARADA 2
PONCE
PR
007162347
Provider Mailing Phone/Fax
| Phone: | 7878135700 |
| Fax: |