Organization
CENTRO TRATAMIENTO AMBULATORIO SAN JUAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN UMPIERRE (DIRECTOR)
(787) 753-0665
Entity
Organization
Contact information
Practice address
CENTRO MEDICO, CALLE MAGA, SAN JUAN, PR 00922
(787) 753-0665
Mailing address
PO BOX 21414, SAN JUAN, PR 00928-1414
(787) 753-0665
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
PR
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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