Organization
ALIANZA PSICOTERAPEUTICA DE PUERTO RICO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ROBERTO GONZALEZ-TORRES M.D. (PRESIDENT)
(787) 294-5871
Entity
Organization
Contact information
Practice address
400 AVE FD ROOSEVELT, SUITE 508, SAN JUAN, PR 00918-2103
(787) 764-3737
Mailing address
PO BOX 363161, SAN JUAN, PR 00936-3161
(787) 294-5871
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
17603
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
17603
PR
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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