Organization
INSTITUTO DE INTEGRACION Y PRESERVACION FAMILIAR PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS RIVERA SANTIAGO SR. LCSW (PRESIDENTE)
(787) 690-0598
Entity
Organization
Contact information
Practice address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920
(787) 690-0598
Mailing address
1215 AVE FD ROOSEVELT, SAN JUAN, PR 00920
(787) 690-0598
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
9458
PR
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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