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Organization
EDNALIZ CAMACHO MONTES
Active
Organization
EDNALIZ CAMACHO MONTES
Active
Other names
Clinica Pies Descalzos
Organization subpart
No
Provider details
NPI number
Authorized official
EDNALIZ CAMACHO MONTES M.A. (PSYCOLOGICAL COUNSELOR)
(787) 597-7967
Entity
Organization
Contact information
Practice address
3 AVE LOS VETERANOS B14, VILLA ROSA, GUAYAMA, PR 00784
(787) 484-4168
Mailing address
HC 1 BOX 2329, MAUNABO, PR 00707-7418
(785) 977-9567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
5646
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
5646
PR
Other
Enumeration date
01/14/2015
Last updated
02/03/2017
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