| Grupo De Servicios Fortaleza, Inc. | |
|
252 Calle Fortaleza Viejo San Juan San Juan PR 00901-1780 | |
| (787) 721-7314 | |
| Not Available |
| Full Name | Grupo De Servicios Fortaleza, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 252 Calle Fortaleza, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jari Rafael Moreno-sanchez (PRESIDENT) |
| Authorized Official Contact | 7877217314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo De Servicios Fortaleza, Inc. Po Box 9021477 San Juan PR 00902-1477 Ph: (787) 721-7314 | Grupo De Servicios Fortaleza, Inc. 252 Calle Fortaleza Viejo San Juan San Juan PR 00901-1780 Ph: (787) 721-7314 |
| NPI Number | 1295976603 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 03/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295976603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8452 (Puerto Rico) | Primary |
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