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Organization

FUNDACION EDUCATIVA CONCEPCION MARTIN

Active
Other names
Colegio Sonifel
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVELISSE MARIE DAVILA ED.DR. (EXECUTIVE DIRECTOR)
(787) 863-3553
Entity
Organization

Contact information

Practice address
312 CALLE DIEGO ZALDUONDO, FAJARDO, PR 00738-4758
(787) 863-3553
Mailing address
PO BOX 70006, FAJARDO, PR 00738-7006
(787) 863-3553

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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