NPI 1013770908
Jenisse Marie Matias
Practice location
- Address
- Calle Dr Basora 55-N Edificio Medico IV 201, Mayaguez, PR 00682
- Phone
- (787) 265-5583
- Mailing address
- Alturas de Mayaguez 1900 Calle Laliza, Mayaguez, PR 00682
Registered specialties
Counseling Psychologist
Primary
Registry record
- NPI
- 1013770908
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Feb 2024
- Record last updated
- 2 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.