Organization
MCG AND THE ABLE CHILD INC
Active
Organization
MCG AND THE ABLE CHILD INC
Active
Other names
MCG AND THE ABLE CHILD INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFREDO GOTAY ZORRILLA (EXECUTIVE DIRECTOR)
(787) 293-0147
Entity
Organization
Contact information
Practice address
1 CALLE ALBOLOTE SUITE 201 202, CENTRO COMERCIAL PLAZA, GUAYNABO, PR 00969
(787) 789-1620
Mailing address
291 AVE WINSTON CHURCHILL EL SENORIAL, SAN JUAN, PR 00926
(787) 293-0147
(787) 293-0150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
208000000X
Pediatrics Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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