MEDICARE: MARIA C GUMA M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	000164	PR

General Provider Information

NPI Number	:	1144438631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA C GUMA M.S.

Provider Business Mailing Address
First Line	:	AVE. MUNOZ RIVERA 652 MONTE MALL SHOPPING CENTER
Second Line	:	SUITE 3205
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6481
Country	:	US
Telephone Number	:	787-765-0534
Fax Number	:

Provider Business Practice Location Address
First Line	:	652 MUNOZ RIVERA MONTE MALL SHOPPING CENTER
Second Line	:	SUITE 3205
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6481
Country	:	US
Telephone Number	:	787-765-0534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/08/2007

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Directions to “ MARIA C GUMA M.S.” Practice Location

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