Organization
FUNDACCION MI ANGEL MANUEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARLINE HERNANDEZ (PRESIDENTA)
(787) 364-4605
Entity
Organization
Contact information
Practice address
ROAD 110 KM 0.3, AGUADILLA, PR 00603
(787) 364-4605
Mailing address
HC 1 BOX 7066, MOCA, PR 00676-9570
(787) 364-4605
(787) 364-4605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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