Organization
CRECE
Active
Other names
Centros de Recursos Educativos Especializados y Psicologicos
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY K. VIDAL PSY. D. (PRESIDENT)
(939) 338-8487
Entity
Organization
Contact information
Practice address
500 MUNOZ RIVERA AVE, CONDOMINIO EL CENTRO II OFFICE 302, SAN JUAN, PR 00917
(939) 338-8487
(939) 338-8487
Mailing address
PO BOX 190733, SAN JUAN, PR 00919-0733
(939) 338-8487
(939) 338-8487
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0961
PR
Other
Enumeration date
07/31/2006
Last updated
11/05/2015
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