Organization
AIDA DE PUERTO RICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER VAZQUEZ ME.D SAP. (DIRECTOR)
(787) 259-3331
Entity
Organization
Contact information
Practice address
MARGINAL LA RAMBLA, AVE TITO CASTRO 629 SUITE 2002, PONCE, PR 00716
(787) 259-3331
Mailing address
MARGINAL LA RAMBLA, AVE TITO CASTRO 629 SUITE 2002, PONCE, PR 00716
(787) 259-3331
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CASM 0394
PR
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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