| M&d Community Mental Health Center | |
| 
					Calle Tous Soto Sur 150 San Lore PR 00754  | |
| (787) 736-3200 | |
| Not Available | 
| Full Name | M&d Community Mental Health Center | 
|---|---|
| Speciality | Clinic/center - Multi-specialty | 
| Location | Calle Tous Soto Sur 150, San Lore, Puerto Rico | 
| Authorized Official Name and Position | Ann M Fournier (FACTURADORA) | 
| Authorized Official Contact | 7876901126 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| M&d Community Mental Health Center P O Box 11021 San Juan PR 00910-1021 Ph: (787) 690-1126  | M&d Community Mental Health Center Calle Tous Soto Sur 150 San Lore PR 00754 Ph: (787) 736-3200  | 
| NPI Number | 1770795585 | 
|---|---|
| Provider Enumeration Date | 05/04/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770795585 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |