Organization
HEALTHSTAT CLINICS LLC
Active
Other names
HEALTHSTAT CLINICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCELO QUILES (PRESIDENTE)
(787) 597-4477
Entity
Organization
Contact information
Practice address
L5 CONDOMINIO CRYSTAL HOUSE, SAN JUAN, PR 00902
(787) 597-4477
Mailing address
PO BOX 182, VEGA BAJA, PR 00694-0182
(787) 597-4477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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