Organization
SERVICIOS INTEGRADOS DE SALUD MENTAL S.E.P.I.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILIANETTE RUIZ MD (OWNER)
(787) 868-1828
Entity
Organization
Contact information
Practice address
EDIFICIO CARIBBEAN OFFICE PARK CARR 417 BO MALPASO, AGUADA, PR 00602
(787) 868-1828
(787) 868-1828
Mailing address
90 CALLE COLON, AGUADA, PR 00602
(787) 868-1828
(787) 868-1828
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
20389
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
20389
PR
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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