Organization
PSICODRAMA PR CP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANNESSA PAGAN MD (PRESIDENT)
17874005436
Entity
Organization
Contact information
Practice address
CARR 2 KM 156.5, 510 AVE HOSTOS VISTA VERDE PLAZA SUITE A-12A, MAYAGUEZ, PR 00681
(788) 975-2710
Mailing address
7 LAS CASONAS, AGUADA, PR 00602-9221
(787) 975-2710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
14054
PR
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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