Custodio Miese, Melida

Custodio Miese, Melida is an sole proprietor health care provider with primary practice located at Calle 22 Y 1 Ave 19 Las Vegas, Catano PR 00962. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Custodio Miese, Melida can be contacted via phone (787) 328-6696.

Contact Information

Primary practice address
Calle 22 Y 1 Ave 19 Las Vegas Catano PR 00962
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1578751707
LBN Legal business name Custodio Miese, Melida
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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