Organization
MUNICIPALITY OF SAN JUAN
Active
Other names
Grupo Clinico Salud Mental CDT Dr. Gualberto Rabell
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOTT SANTIAGO CONCEPCION PHD MBA (PHYSOCOLOGICAL SERVICE SUPERVISOR)
(787) 480-3828
Entity
Organization
Contact information
Practice address
CALLE CERRA FINAL ESQ CALLE HOARE #900, SAN JUAN, PR 00928-1405
(787) 480-3828
(787) 977-8401
Mailing address
PO BOX 21405, SAN JUAN, PR 00928-1405
(787) 480-3828
(787) 977-8401
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
101 CNC NUM 78-262
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
101 CNC 78-262
PR
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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