Organization
ALIANZA PSICOSOCIAL DE PUERTO RICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL A COSME (PRESIDENTE)
(787) 685-5074
Entity
Organization
Contact information
Practice address
RESIDENCIAL YUQUIYU CARRETERA PR 187 KM. 11.1, LOIZA, PR 00772-1863
(787) 685-5074
Mailing address
PO BOX 367587, SAN JUAN, PR 00936-7587
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0444
PR
103TC0700X
Clinical Psychologist
Primary
0444
PR
103TC0700X
Clinical Psychologist
1567
PR
103TC0700X
Clinical Psychologist
3649
PR
103TC0700X
Clinical Psychologist
3880
PR
103TC0700X
Clinical Psychologist
3932
PR
1041C0700X
Clinical Social Worker
9512
PR
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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