| Samari Roman Gandulla & Asociados | |
|
1452 Ave Ashford 408 Ada Ligia San Juan PR 00907-1581 | |
| (787) 509-7212 | |
| Not Available |
| Full Name | Samari Roman Gandulla & Asociados |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1452 Ave Ashford, San Juan, Puerto Rico |
| Authorized Official Name and Position | Samari Roman Gandulla (PRESIDENTA) |
| Authorized Official Contact | 7876497212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samari Roman Gandulla & Asociados 1452 Ave Ashford 408 Ada Ligia San Juan PR 00907-1581 Ph: (787) 509-7212 | Samari Roman Gandulla & Asociados 1452 Ave Ashford 408 Ada Ligia San Juan PR 00907-1581 Ph: (787) 509-7212 |
| NPI Number | 1164835625 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164835625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (Puerto Rico) | Secondary |
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