Organization
CENTRO MEDICINA ALTERNATIVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITZA M BAQUERO PHYCHOLOGIST (PRESIDENT)
(787) 647-2930
Entity
Organization
Contact information
Practice address
180 WINSTON CHURCHILL AVE, SAN JUAN, PR 00926
(787) 647-2930
Mailing address
PO BOX 280, GUAYNABO, PR 00970
(787) 647-2930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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