Organization
PSICOLOGOS CLINICOS DEL SANTURCE MEDICAL MALL, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ELIZABETH CHAVEZ PH.D. (PRESIDENT)
(787) 727-2424
Entity
Organization
Contact information
Practice address
1801 AVE PONCE DE LEON, SUITE 311, SAN JUAN, PR 00909-1900
(787) 727-2424
(787) 727-2424
Mailing address
1801 AVE PONCE DE LEON, SUITE 311, SAN JUAN, PR 00909-1900
(787) 727-2424
(787) 727-2424
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1165
PR
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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