Organization
PAX DE PUERTO RICO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIADNE RODRIGUEZ VELAZQUEZ PH. D (EXECUTIVE DIRECTOR)
(787) 644-9925
Entity
Organization
Contact information
Practice address
JARDINES DEL CARIBE 49, YY46, PONCE, PR 00731
(787) 644-9925
Mailing address
49 JARDINES DEL CARIBE, #YY46, PONCE, PR 00728-2654
(787) 644-9925
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4040
PR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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