Organization
CET HUELLA DE ANGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MENDITH GONZALEZ T.O. (TERAPEUTA OCUPACIONAL)
(787) 299-5978
Entity
Organization
Contact information
Practice address
AVE. LOS CASIANO, #1, YAUCO, PR 00698-3434
(787) 856-3347
(787) 856-6197
Mailing address
ESTANCIAS DE YAUCO C/ALEJANDRINA K8, YAUCO, PR 00698
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
842
PR
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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