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Organization
CENTRO DE DESARROLLO COGNITIVO
Active
Organization
CENTRO DE DESARROLLO COGNITIVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIDSON BAEZ RAMIREZ M.A. (PSYCHOLOGIST)
(787) 233-2909
Entity
Organization
Contact information
Practice address
ALFONSO XII STREET ANEXO MUEBLERIA LA LUNA, INTERAMERICAN UNIVERSITY AVENUE, SAN GERMAN, PR 00683
(787) 892-9911
(787) 892-9911
Mailing address
408 CALLE REINA, ESTANCIAS REALES, SAN GERMAN, PR 00683-4168
(787) 892-9911
(787) 892-9911
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4282254
LICENCE ID
PR
Enumeration date
08/07/2014
Last updated
08/07/2014
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