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1606 Ave Ponce De Leon Suite 1005 San Juan PR 00909-1849 | |
| (787) 724-6604 | |
| (787) 724-6604 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 1606 Ave Ponce De Leon, San Juan, Puerto Rico |
| Authorized Official Name and Position | Angel M Colon (PRESIDENT) |
| Authorized Official Contact | 7877246604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1606 Ave Ponce De Leon Suite 1005 San Juan PR 00909-1849 Ph: (787) 724-6604 | 1606 Ave Ponce De Leon Suite 1005 San Juan PR 00909-1849 Ph: (787) 724-6604 |
| NPI Number | 1700280500 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700280500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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