Organization
CENTRO INTERDICIPLINARIO PSICOEDUCATIVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA SUAREZ (PRESIDENT)
(787) 329-1812
Entity
Organization
Contact information
Practice address
26 CALLE ENRIQUE GONZALEZ, ESQ CALLE LUIS VENEGAS, GUAYAMA, PR 00784
(787) 329-1812
Mailing address
PO BOX 272, SANTA ISABEL, PR 00757-0272
(787) 329-1812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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