# EDNALIZ CAMACHO MONTES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Pies Descalzos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235528209
- **Authorized official:** EDNALIZ CAMACHO MONTES M.A. (PSYCOLOGICAL COUNSELOR)
- **Authorized official phone:** (787) 597-7967

## Contact information

- **Practice address:** 3 AVE LOS VETERANOS B14, VILLA ROSA, GUAYAMA, PR 00784
- **Practice address phone:** (787) 484-4168
- **Mailing address:** HC 1 BOX 2329, MAUNABO, PR 00707-7418
- **Mailing address phone:** (785) 977-9567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 5646 | PR | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 5646 | PR | Yes |

## Other

- **Enumeration date:** 01/14/2015
- **Last updated:** 02/03/2017