Organization
SMART THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IVONNE M ORTIZ MORALES (PRESIDENTE)
(787) 248-9335
Entity
Organization
Contact information
Practice address
CARRETERA 802 SECTOR ROLO PACHECO, COROZAL, PR 00783-0529
(787) 248-9335
Mailing address
PO BOX 529, COROZAL, PR 00783-0529
(787) 248-9335
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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