| Embajadora By Innovation Inc | |
|
192-14 Calle 435 Carolina PR 00985-3013 | |
| (787) 518-5720 | |
| Not Available |
| Full Name | Embajadora By Innovation Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 192-14 Calle 435, Carolina, Puerto Rico |
| Authorized Official Name and Position | Ingris Maldonado (PRESIDENTA) |
| Authorized Official Contact | 9396557983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embajadora By Innovation Inc Po Box 5127 Carolina PR 00984-5127 Ph: (787) 518-5720 | Embajadora By Innovation Inc 192-14 Calle 435 Carolina PR 00985-3013 Ph: (787) 518-5720 |
| NPI Number | 1326686742 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326686742 | NPI | - | NPPES |
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