Organization
PUERTO RICON CLINICAL AND FORENSIC PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO MEDINA (PRESIDENT)
(787) 384-4013
Entity
Organization
Contact information
Practice address
CB6 CALLE EUCALIPTO, RIOHONDO III,, BAYAMON, PR 00961-3422
(787) 384-4013
(787) 785-3985
Mailing address
CB-6, CALLE EUCALIPTOS, RIOHONDO III, BAYAMON, PR 00961
(787) 384-4013
(787) 785-3985
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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