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Carretera #64 Esquina Calle 3, Urb Industrial Algarrobos Mayaguez PR 00680 | |
| (787) 838-7272 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Carretera #64 Esquina Calle 3,, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Maria C Bustillo (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7877256500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9023711 San Juan PR 00902-3711 Ph: (787) 725-6500 | Carretera #64 Esquina Calle 3, Urb Industrial Algarrobos Mayaguez PR 00680 Ph: (787) 838-7272 |
| NPI Number | 1801205158 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801205158 | NPI | - | NPPES |
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