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Carolina Shopping Court, Road #3, Km. 9.6 Carolina PR 00979 | |
| (787) 787-6410 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Carolina Shopping Court, Road #3, Km. 9.6, Carolina, Puerto Rico |
| Authorized Official Name and Position | Jason Morales (VP REGULATORY AFFAIRS) |
| Authorized Official Contact | 7876410774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 71474 San Juan PR 00936-8574 Ph: (787) 641-0773 | Carolina Shopping Court, Road #3, Km. 9.6 Carolina PR 00979 Ph: (787) 787-6410 |
| NPI Number | 1740640770 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 06/12/2020 |
| Certification Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740640770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Centro De Consejeria Abriendo Puertas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Roberto Clemente Blq 132 #13 Villa Carolina, Carolina, PR 00985 Phone: 787-925-1465 | |
New Horizon Pr Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Urb Ext El Comandante, Calle Kelly #352, Carolina, PR 00986 Phone: 787-346-9966 | |
Clinica Vitaliza Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carolina Shopping Court, 307a Avenida Roberto Clemente, Carolina, PR 00985 Phone: 787-627-9285 | |