| Centro Ambulatorio De Desintoxicacion Y Enlace De Pr, Inc. | |
|
Atocha 120 Ponce PR 00731 | |
| (787) 409-7030 | |
| Not Available |
| Full Name | Centro Ambulatorio De Desintoxicacion Y Enlace De Pr, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Atocha 120, Ponce, Puerto Rico |
| Authorized Official Name and Position | Martin Scamaroni (CEO) |
| Authorized Official Contact | 7874078944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Ambulatorio De Desintoxicacion Y Enlace De Pr, Inc. Po Box 2000 Pmb 10 Mercedita PR 00717 Ph: (787) 409-7030 | Centro Ambulatorio De Desintoxicacion Y Enlace De Pr, Inc. Atocha 120 Ponce PR 00731 Ph: (787) 409-7030 |
| NPI Number | 1790087609 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790087609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LOC-15-62-0004 (Puerto Rico) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AC-15-62-0034 (Puerto Rico) | Primary |
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