Organization
CENTRO AMBULATORIO DE DESINTOXICACION Y ENLACE DE PR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SCAMARONI M.D. (CEO)
(787) 407-8944
Entity
Organization
Contact information
Practice address
ATOCHA 120, PONCE, PR 00731
(787) 409-7030
Mailing address
PO BOX 2000 PMB 10, MERCEDITA, PR 00717
(787) 409-7030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LOC-15-62-0004
PR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC-15-62-0034
PR
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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