Organization
EN AQUELLOS TIEMPOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE MICHELLE MARTINEZ (OWNER/DIRECTOR)
(956) 702-8833
Entity
Organization
Contact information
Practice address
1209 E FM 495, SUITE 1-3, SAN JUAN, TX 78589-4863
(956) 702-8833
(956) 702-8844
Mailing address
1209 E FM 495, SUITE 1-3, SAN JUAN, TX 78589-4863
(956) 702-8833
(956) 702-8844
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
133041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017838
—
TX
Enumeration date
02/09/2012
Last updated
02/09/2012
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