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NPI Code Detail

MEDICARE: GABRIELA ALEJANDRA ANDUJAR PSY D

MEDICARE: GABRIELA ALEJANDRA ANDUJAR PSY D
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
1103TC0700XClinical Psychologist8632PR

General Provider Information

NPI Number : 1811851330
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA ALEJANDRA ANDUJAR PSY D
Provider Business Mailing Address
First Line : PO BOX 260
Second Line :
City : JAYUYA
State : PR
Zip : 00664-0260
Country : US
Telephone Number : 787-673-8699
Fax Number :
Provider Business Practice Location Address
First Line : 1123 AVE HOSTOS
Second Line :
City : PONCE
State : PR
Zip : 00717-0952
Country : US
Telephone Number : 787-499-5404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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