| N/a | |
|
Cond Mendez Vigo W # 63e Cond. Centro Plaza Ofic. 5a Mayaguez PR 00680-2800 | |
| (787) 265-0370 | |
| (787) 265-0370 |
| Full Name | N/a |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Cond Mendez Vigo W # 63e, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Japhet Gaztambide (PSYCHIATRY) |
| Authorized Official Contact | 7872650370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a Mendez Vigo 63 E Cond. Centro Plaza Ofic. 5a Mayaguez PR 00680 Ph: (787) 265-0370 | N/a Cond Mendez Vigo W # 63e Cond. Centro Plaza Ofic. 5a Mayaguez PR 00680-2800 Ph: (787) 265-0370 |
| NPI Number | 1063686368 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063686368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 11940 (Puerto Rico) | Primary |
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