# ALIANZA PSICOTERAPEUTICA DE PUERTO RICO, PSC

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

## Provider details

- **NPI number:** 1467725150
- **Authorized official:** MARIO ROBERTO GONZALEZ-TORRES M.D. (PRESIDENT)
- **Authorized official phone:** (787) 294-5871

## Contact information

- **Practice address:** 400 AVE FD ROOSEVELT, SUITE 508, SAN JUAN, PR 00918-2103
- **Practice address phone:** (787) 764-3737
- **Mailing address:** PO BOX 363161, SAN JUAN, PR 00936-3161
- **Mailing address phone:** (787) 294-5871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 17603 | PR | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 17603 | PR | Yes |

## Other

- **Enumeration date:** 02/12/2012
- **Last updated:** 02/12/2012