DR. Miguel A Licha Baquero, PH.D

NPI #1144427162 in Guaynabo, Puerto Rico

Provider Information

NPI Number: 1144427162
Entity Type: Individual
Name: DR. Miguel A Licha Baquero, PH.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D
Enumeration Date: Jul 2, 2007
Last Updated: Jul 22, 2009

Practice Location

Address: 100 CARR 165
Address 2: CENTRO INTERNACIONAL DE MERCADEO,TORRE I, SUITE 401
City: Guaynabo
State: Puerto Rico
ZIP Code: 00968-8047
Phone: (787) 781-5061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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