Organization
RC BEHAVIORAL WELNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN CARLOS ROMAN ITHIER MD (PRESIDENT)
(787) 396-2181
Entity
Organization
Contact information
Practice address
740 AVE HOSTOS, COND MEDICAL CENTER PLAZA, OFFICE 304, MAYAGUEZ, PR 00680
(787) 396-2181
Mailing address
PO BOX 3633, MAYAGUEZ, PR 00681-3633
(787) 396-2181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18502
PR
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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