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Carr 3 Km 11.6 Bo Martin Gonzalez Carolina PR 00986 | |
| (787) 358-4139 | |
| (256) 886-2900 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | Carr 3 Km 11.6, Carolina, Puerto Rico |
| Authorized Official Name and Position | Regino Cruz Olivo (VICE PRESIDENT) |
| Authorized Official Contact | 7876143006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Carr 3 Km 11.6 Bo Martin Gonzalez Carolina PR 00986 Ph: (787) 358-4139 | Carr 3 Km 11.6 Bo Martin Gonzalez Carolina PR 00986 Ph: (787) 358-4139 |
| NPI Number | 1497257463 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 03/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497257463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 9855 (Puerto Rico) | Primary |
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