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NPI Code Detail

MEDICARE: MIGDALIA ESPINO

MEDICARE: MIGDALIA ESPINO
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)2845PR

General Provider Information

NPI Number : 1679904783
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIGDALIA ESPINO
Provider Business Mailing Address
First Line : 2305 CALLE LAUREL
Second Line : CONDOMINIO PARK BLVD APT 404
City : SAN JUAN
State : PR
Zip : 00913-4605
Country : US
Telephone Number : 787-390-1585
Fax Number :
Provider Business Practice Location Address
First Line : 2305 CALLE LAUREL
Second Line : CONDOMINIO PARK BLVD APT 404
City : SAN JUAN
State : PR
Zip : 00913-4605
Country : US
Telephone Number : 787-390-1585
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. MIGDALIA ESPINO
Credential : DOCTOR
Telephone Number : 787-390-1585
Provider Enumeration Date : 11/29/2013
Last Update Date : 11/29/2013

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Directions to “MIGDALIA ESPINO ” Practice Location

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