Organization
PONCE MEDICAL SCHOOL FOUNDATION
Active
Other names
CENTRO DE SALUD CONDUCTUAL GUAYAMA
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR BURGOS MBA (OPERATIONS MANAGER)
(787) 840-2575
Entity
Organization
Contact information
Practice address
NIEVES PETTITE MALL LOCAL # 2, GUAYAMA, PR 00785
(787) 866-2726
(787) 866-0014
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-2575
(787) 840-8391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2006
Last updated
08/09/2007
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