Organization
PONCE MEDICAL SCHOOL FOUNDATION INC.
Active
Other names
Salud Conductual Grupo Psicologos
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR BURGOS (ADMINISTRADOR)
(787) 614-2972
Entity
Organization
Contact information
Practice address
132 CALLE JOSE I QUINTON, COAMO, PR 00769-3041
(787) 803-2110
(787) 803-2106
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
(787) 840-0052
(787) 284-3619
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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