Organization
CRECE: CENTRO TERAPEUTICO PARA EL DESARROLLO INFANTIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS CORDOVA (ADMINISTRATOR)
(787) 942-0321
Entity
Organization
Contact information
Practice address
265 AVE JESUS T PINERO, SAN JUAN, PR 00927-3911
(787) 942-0321
Mailing address
PO BOX 360362, SAN JUAN, PR 00936-0362
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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