DR. WANDA L DECARDONA


Address: Cond City View Tower Apt 203, Violetas St 2002, San Juan, PR 00915
Phone: 7876460311

DR. WANDA L DECARDONA (NPI# 1508166554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508166554
Entity Type Individual
Full Name DR. WANDA L DECARDONA
Credential PSYD
Practice Address Cond City View Tower Apt 203, Violetas St 2002
San Juan
PR 00915
Practice Telephone 7876460311
Mailing Telephone 7876460311
Enumeration Date 2010-10-25
Last Update Date 2010-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1992 PR Behavioral Health & Social Service Providers

Office Location

Street Address COND CITY VIEW TOWER APT 203, VIOLETAS ST 2002
City SAN JUAN
State PR
Zip Code 00915

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City SAN JUAN
Zip Code 00915

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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