Organization
CHAMPI MEDICAL AND WELLNESS GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSMARIE M CORTES-RIVERA M.D. (MEDICAL DIRECTOR)
(787) 229-1223
Entity
Organization
Contact information
Practice address
107 CALLE MARIA MONAGAS LOCAL #1, ESQ 65 INFANTERIA MENTAL HEALTH DIVISION, ANASCO, PR 00610
(787) 229-1223
(787) 229-1332
Mailing address
PO BOX 619, ANASCO, PR 00610-0619
(787) 229-1223
(787) 229-1332
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
PR
103TC0700X
Clinical Psychologist
—
PR
261QM0850X
Adult Mental Health Clinic/Center
—
PR
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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