Organization
EDNALIZ CAMACHO MONTES
Active
Other names
Clinica Pies Descalzos
Organization subpart
No
Provider details
NPI number
Authorized official
EDNALIZ CAMACHO MONTES M.A. (PSYCOLOGICAL COUNSELOR)
(787) 597-7967
Entity
Organization
Contact information
Practice address
3 AVE LOS VETERANOS B14, VILLA ROSA, GUAYAMA, PR 00784
(787) 484-4168
Mailing address
HC 1 BOX 2329, MAUNABO, PR 00707-7418
(785) 977-9567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
5646
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
5646
PR
Other
Enumeration date
01/14/2015
Last updated
02/03/2017
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