| Clinica Interdisciplinaria Del Sur Este, Inc | |
|
B-9 Ave Los Veteranos Urb Villa Rosa Iii Guayama PR 00784 | |
| (787) 900-3188 | |
| Not Available |
| Full Name | Clinica Interdisciplinaria Del Sur Este, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | B-9 Ave Los Veteranos, Guayama, Puerto Rico |
| Authorized Official Name and Position | Waleska S. Pabon (PRESIDENT) |
| Authorized Official Contact | 7879003188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Interdisciplinaria Del Sur Este, Inc Po Box 1399 Patillas PR 00723 Ph: (787) 900-3188 | Clinica Interdisciplinaria Del Sur Este, Inc B-9 Ave Los Veteranos Urb Villa Rosa Iii Guayama PR 00784 Ph: (787) 900-3188 |
| NPI Number | 1346626348 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346626348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2020 (Puerto Rico) | Primary |
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