# DEPARTMENT OF VETERAN AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205132867
- **Authorized official:** MR. FERNANDO CARTAGENA (ADDICTION THERAPIST)
- **Authorized official phone:** (787) 812-3030

## Contact information

- **Practice address:** 1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
- **Practice address phone:** (787) 812-3030
- **Mailing address:** ST SANTIAGO IGLESIAS, \# 4, COAMO, PR 00769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 01/31/2011
