Organization
CLINICA DE TRATAMIENTO PSICOTERAPEUTICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L. HERRERA (DIRECTOR)
(787) 785-3448
Entity
Organization
Contact information
Practice address
CARR. NUM. 2 KM. 11.2 ALTOS DE MUNDO TRAVEL, BAYAMON, PR 00959-3054
(787) 785-3448
(787) 778-2868
Mailing address
VIA SAN JOSE C 24, URBANIZACION ESTANCIA, BAYAMON, PR 00959-3054
(787) 780-6304
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CDTD-0176
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-7155
TRIPLE S
PR
01
—
458979
FHC
PR
Enumeration date
03/09/2007
Last updated
08/22/2020
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