MEDICARE: MARIA ISABEL BRAVO-SAAVEDRA PH.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
1	103T00000X	Psychologist	004848	PR

General Provider Information

NPI Number	:	1073356135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ISABEL BRAVO-SAAVEDRA PH.D.

Provider Business Mailing Address
First Line	:	URB. ALMIRA
Second Line	:	AD-17 11 STREET
City	:	TOA BAJA
State	:	PR
Zip	:	00949-4045
Country	:	US
Telephone Number	:	939-218-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1226 CALLE CADIZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920-3841
Country	:	US
Telephone Number	:	787-428-7939
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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