Organization
CENTRO INTERDISCIPLINARIO PARA EL DESARROLLO DE LA NINEZ, INC.
Active
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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