| Clinica Interdisciplinaria Del Sureste, Inc. | |
|
3 Ave. Los Veteranos Viila Rosa B9 Guayama PR 00728-1399 | |
| (787) 900-3188 | |
| (787) 866-0984 |
| Full Name | Clinica Interdisciplinaria Del Sureste, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 3 Ave. Los Veteranos, Guayama, Puerto Rico |
| Authorized Official Name and Position | Waleska S. Pabon (OWNER) |
| Authorized Official Contact | 7879003188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Interdisciplinaria Del Sureste, Inc. Po Box 1399 Patillas PR 00723-1399 Ph: (787) 900-3188 | Clinica Interdisciplinaria Del Sureste, Inc. 3 Ave. Los Veteranos Viila Rosa B9 Guayama PR 00728-1399 Ph: (787) 900-3188 |
| NPI Number | 1407222383 |
|---|---|
| Provider Enumeration Date | 08/14/2015 |
| Last Update Date | 08/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407222383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2020 (Puerto Rico) | Primary |
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