| Cisme | |
|
Centro Caribe Building 2053 Ponce By Pass Suite 205 Ponce PR 00717-1308 | |
| (787) 453-8666 | |
| (787) 841-4170 |
| Full Name | Cisme |
|---|---|
| Speciality | Psychologist |
| Location | Centro Caribe Building 2053, Ponce, Puerto Rico |
| Authorized Official Name and Position | Carlos A Lado-cornejo (PRESIDENT) |
| Authorized Official Contact | 7874538666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cisme Po Box 632 Mercedita PR 00715-0632 Ph: (787) 453-8666 | Cisme Centro Caribe Building 2053 Ponce By Pass Suite 205 Ponce PR 00717-1308 Ph: (787) 453-8666 |
| NPI Number | 1396763561 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396763561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2334 (Puerto Rico) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12657 (Puerto Rico) | Secondary |
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