# DR MICHEL A WOODBURY, PSC

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

## Provider details

- **NPI number:** 1215343777
- **Authorized official:** DR. MICHEL A. WOODBURY M.D. (PRESIDENT)
- **Authorized official phone:** (787) 226-1899

## Contact information

- **Practice address:** 307 CALLE ELEONOR ROOSEVELT, SAN JUAN, PR 00918-2720
- **Practice address phone:** (787) 754-0872
- **Practice address fax:** (787) 758-9690
- **Mailing address:** 307 CALLE ELEONOR ROOSEVELT, SAN JUAN, PR 00918-2720
- **Mailing address phone:** (787) 754-0872
- **Mailing address fax:** (787) 758-9690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 6363 | PR | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 6363 | PR | Yes |

## Other

- **Enumeration date:** 07/05/2014
- **Last updated:** 07/05/2014