Organization
ORUGA EN METAMORFOSIS CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS L KUILAN PEREZ (AUTHORIZED OFFICIAL)
(787) 846-5101
Entity
Organization
Contact information
Practice address
51 URB CATALANA, BARCELONETA, PR 00617-2773
(787) 846-5101
Mailing address
HC 33 BOX 5168, DORADO, PR 00646-9603
(787) 405-6504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
02/16/2024
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