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Organization

GRUPO SALUD MENTAL DEL SUR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE X. VAZQUEZ SR. (DIRECTOR)
(787) 638-3090
Entity
Organization

Contact information

Practice address
609 AVE TITO CASTRO SUITES 102, PMB 229, PONCE, PR 00716-1692
(787) 638-3090
(787) 259-3331
Mailing address
1306 CALLE SALUD, ESQ CAMPECHE, PONCE, PR 00717-1692
(787) 638-3090
(787) 259-3331

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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