Organization
CENTRO INTERDISCIPLINARIO PARA EL DESARROLLO DE LA NINEZ, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETSIE IVELISSE CALDERON-VIGO PSY.D. (PSYCHOLOGIST)
(787) 344-7107
Entity
Organization
Contact information
Practice address
H13 VILLA DEL CARMEN, AVENIDA LUIS MUNOZ MARIN, CAGUAS, PR 00725
(787) 344-7107
(787) 720-5091
Mailing address
N22 CALLE CATARATAS, ALTURAS DE REMANSO, SAN JUAN, PR 00926-6119
(787) 344-7107
(787) 720-5091
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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