Individual
DR. MARTIN SCAMARONI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.
Contact information
Practice address
120 CALLE ATOCHA, PONCE, PR 00730-3209
(787) 409-7030
Mailing address
PO BOX 2000 PMB 10 MERCEDITA, PONCE, PR 00717-8000
(787) 409-7030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC-III-15-62-0034
PR
101YP1600X
Pastoral Counselor
TC-III-15-62-0041
PR
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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