Organization
CLINICA NINOS Y ADOLESCENTES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ELIAS LUGO (SUPERVISOR)
(787) 766-4646
Entity
Organization
Contact information
Practice address
HOSPITAL PEDIATRICO 4TH FLOOR, CENTRO MEDICO, SAN JUAN, PR 00922
(787) 766-4646
Mailing address
PO BOX 21414, SAN JUAN, PR 00928-1414
(787) 766-4640
(787) 763-2344
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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