Organization
GRUPO PSIQUIATRICO, CSP
Active
Organization
GRUPO PSIQUIATRICO, CSP
Active
Other names
Grupo Psiquiatrico
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARGARITA FUMERO (ADMINISTRATOR)
(787) 722-5006
Entity
Organization
Contact information
Practice address
29 CALLE WASHINGTON, SUITE 310, SAN JUAN, PR 00907-1510
(787) 722-5006
(787) 725-7490
Mailing address
PO BOX 19234, FERNANDEZ JUNCOS STATION, SAN JUAN, PR 00910-1234
(787) 722-5006
(787) 725-7490
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26148
TRIPLE S, INC
PR
01
—
65810
CRUZ AZUL DE PR
PR
Enumeration date
08/25/2006
Last updated
08/22/2020
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