Organization
ASSMCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOE BARBOT I (SUPERVISOR)
(787) 878-8038
Entity
Organization
Contact information
Practice address
639 AVE SAN LUIS, ARECIBO, PR 00612-3666
(787) 878-8038
Mailing address
7 TH STREET B-20 URB. CORALES, HATILLO, PUERTO RICO 00659
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
28641
PR
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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