Organization
CLINICA INTERDISCIPLINARIA DEL SURESTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WALESKA S. PABON PSY D (OWNER)
(787) 900-3188
Entity
Organization
Contact information
Practice address
3 AVE. LOS VETERANOS, VIILA ROSA B9, GUAYAMA, PR 00728-1399
(787) 900-3188
(787) 866-0984
Mailing address
PO BOX 1399, PATILLAS, PR 00723-1399
(787) 900-3188
(787) 866-0984
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2020
PR
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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