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Uu45 Calle Yunquesito Carolina PR 00987-8125 | |
| (787) 550-4290 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | Uu45 Calle Yunquesito, Carolina, Puerto Rico |
| Authorized Official Name and Position | Jose Rafael Pla (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7875504290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Uu45 Calle Yunquesito Carolina PR 00987-8125 Ph: (787) 550-4290 | Uu45 Calle Yunquesito Carolina PR 00987-8125 Ph: (787) 550-4290 |
| NPI Number | 1427201078 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427201078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 9346 (Puerto Rico) | Primary |
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