# PUERTO RICO MIND AND BODY HEALTH CSP

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

## Provider details

- **NPI number:** 1568933117
- **Authorized official:** DR. YUSSEL GARCIA AMADOR MD (PRESIDENT)
- **Authorized official phone:** (787) 647-0889

## Contact information

- **Practice address:** 187 AVE LOS ATLETICOS, EDIF RALI 104, SAN GERMAN, PR 00683
- **Practice address phone:** (787) 470-9444
- **Practice address fax:** (787) 659-7260
- **Mailing address:** PO BOX 1553, HORMIGUEROS, PR 00660-5553
- **Mailing address phone:** (787) 470-9444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2018
- **Last updated:** 12/07/2018