| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | H20 Calle A, Carolina, Puerto Rico |
| Authorized Official Name and Position | Jose A Chevere (NURSE) |
| Authorized Official Contact | 7874639094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
H20 Calle A Carolina PR 00985-5565 Ph: (787) 463-9094 | H20 Calle A Carolina PR 00985-5565 Ph: (787) 463-9094 |
| NPI Number | 1437433927 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437433927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 34657 (Puerto Rico) | Primary |
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