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10 Calle Casia San Juan PR 00921-3200 | |
| (787) 248-4873 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 Calle Casia, San Juan, Puerto Rico |
| Authorized Official Name and Position | Yaniris Ortiz Gonzalez (SOCIAL WORKER) |
| Authorized Official Contact | 7872484873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 545 Florida PR 00650-0545 Ph: (787) 248-4873 | 10 Calle Casia San Juan PR 00921-3200 Ph: (787) 248-4873 |
| NPI Number | 1649528084 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649528084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9309 (Puerto Rico) | Primary |
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