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Organization

EMBAJADORA BY INNOVATION INC

Active
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Organization

EMBAJADORA BY INNOVATION INC

Active
Other names
Embajadora By Innovation INC
Organization subpart
No

Provider details

NPI number
Authorized official
INGRIS MALDONADO PHD (PRESIDENTA)
(939) 655-7983
Entity
Organization

Contact information

Practice address
192-14 CALLE 435, CAROLINA, PR 00985-3013
(787) 518-5720
Mailing address
PO BOX 5127, CAROLINA, PR 00984-5127
(787) 518-5720

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Enumeration date
12/16/2019
Last updated
12/18/2019
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