Organization
THE BEHAVIORAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE MEJIA VALLE M.D. (PRESIDENT)
(787) 545-2718
Entity
Organization
Contact information
Practice address
COND MAGA, BO MONACILLOS CENTRO MEDICO, SAN JUAN, PR 00907-1966
(787) 545-2718
(787) 545-2794
Mailing address
130 AVE WINSTON CHURCHILL, PMB 359 SUITE 1, SAN JUAN, PR 00926-6065
(787) 545-2718
(787) 545-2794
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13958
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13958
LICENSE
PR
Enumeration date
06/21/2016
Last updated
06/21/2016
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