Organization
PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH
Active
Organization
PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH
Active
Other names
PRCONCRA
Organization subpart
No
Provider details
NPI number
Authorized official
ROSAURA LOPEZ (EXECUTIVE DIRECTOR)
(787) 773-0464
Entity
Organization
Contact information
Practice address
URB GARCIA UBARRI, 1162 CALLE BRUMBAUGH, SAN JUAN, PR 00925
(787) 773-0464
(787) 294-1569
Mailing address
URB GARCIA UBARRI, 1162 CALLE BRUMBAUGH, SAN JUAN, PR 00925
(787) 773-0464
(787) 294-1569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
II020A
—
PR
Enumeration date
10/10/2019
Last updated
10/10/2019
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