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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