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Organization
CENTRO DE SALUD MENTAL DEL OESTE
Active
Organization
CENTRO DE SALUD MENTAL DEL OESTE
Active
Other names
CSMDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAIZ RIVERA PHD (PSYCHOLOGIST)
(787) 517-9298
Entity
Organization
Contact information
Practice address
HC 4 BOX 13482, SAN GERMAN, PR 00683-9568
(787) 517-9298
Mailing address
HC 4 BOX 13482, SAN GERMAN, PR 00683-9568
(787) 517-9298
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
PR
261QM0850X
Adult Mental Health Clinic/Center
—
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780006155
NPI
PR
01
—
GT591A
PTAN
PR
Enumeration date
06/15/2016
Last updated
06/15/2016
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