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Organization
PSICOLOGOS CLINICOS DEL SANTURCE MEDICAL MALL, CSP
Active
Organization
PSICOLOGOS CLINICOS DEL SANTURCE MEDICAL MALL, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ELIZABETH CHAVEZ PH.D. (PRESIDENT)
(787) 727-2424
Entity
Organization
Contact information
Practice address
1801 AVE PONCE DE LEON, SUITE 311, SAN JUAN, PR 00909-1900
(787) 727-2424
(787) 727-2424
Mailing address
1801 AVE PONCE DE LEON, SUITE 311, SAN JUAN, PR 00909-1900
(787) 727-2424
(787) 727-2424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1165
PR
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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