| Pax De Puerto Rico Inc. | |
|
Jardines Del Caribe 49 Yy46 Ponce PR 00731 | |
| (787) 644-9925 | |
| Not Available |
| Full Name | Pax De Puerto Rico Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Jardines Del Caribe 49, Ponce, Puerto Rico |
| Authorized Official Name and Position | Ariadne Rodriguez Velazquez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7876449925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax De Puerto Rico Inc. 49 Jardines Del Caribe #yy46 Ponce PR 00728-2654 Ph: (787) 644-9925 | Pax De Puerto Rico Inc. Jardines Del Caribe 49 Yy46 Ponce PR 00731 Ph: (787) 644-9925 |
| NPI Number | 1033494281 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033494281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4040 (Puerto Rico) | Primary |
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