Organization
CLINICA INTERDISCIPLINARIA DEL SUR ESTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALESKA S. PABON (PRESIDENT)
(787) 900-3188
Entity
Organization
Contact information
Practice address
B-9 AVE LOS VETERANOS, URB VILLA ROSA III, GUAYAMA, PR 00784
(787) 900-3188
Mailing address
PO BOX 1399, PATILLAS, PR 00723
(787) 900-3188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2020
PR
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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