# FUNCTIONAL ENDOCRINOLOGY INSTITUTE P.S.C

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

## Provider details

- **NPI number:** 1295282499
- **Authorized official:** DR. PAOLA M MANSILLA LETELIER (OWNER)
- **Authorized official phone:** (787) 233-9108

## Contact information

- **Practice address:** 120 CALLE CARAZO, GUAYNABO, PR 00970
- **Practice address phone:** (787) 400-0333
- **Mailing address:** PO BOX 2447, GUAYNABO, PR 00970-2447
- **Mailing address phone:** (787) 400-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 18179 | PR | Yes |

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 09/06/2016