Organization
FUNDACION PEDIATRICA DE DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANA BENITEZ (DIRECTORA EJECUTIVA)
(787) 633-6310
Entity
Organization
Contact information
Practice address
260 CALLE CONVENTO, 2 FLOOR, SAN JUAN, PR 00912
(787) 633-6373
Mailing address
PO BOX 6453, SAN JUAN, PR 00914-6453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TS0200X
School Psychologist
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
09/09/2024
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