| Abanzamos Puerto Rico, Llc. | |
|
7 Calle Tabonuco Ste 105 Guaynabo PR 00968-3018 | |
| (787) 417-7300 | |
| Not Available |
| Full Name | Abanzamos Puerto Rico, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7 Calle Tabonuco Ste 105, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Itzel Lucia Mendez Ramos (CEO / CLINICAL DIRECTOR) |
| Authorized Official Contact | 3057789959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abanzamos Puerto Rico, Llc. 7 Calle Tabonuco Ste 105 Guaynabo PR 00968-3018 Ph: (787) 417-7300 | Abanzamos Puerto Rico, Llc. 7 Calle Tabonuco Ste 105 Guaynabo PR 00968-3018 Ph: (787) 417-7300 |
| NPI Number | 1629816103 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629816103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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