Organization
EMOTIONAL & MENTAL CONSULTING SERVICES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO ANTONIO HERNANDEZ - ORTIZ M.D. (PRESIDENT)
(787) 259-1265
Entity
Organization
Contact information
Practice address
2225 PONCE BYP, STE 709, PONCE, PR 00717-1321
(787) 259-1265
(787) 259-1266
Mailing address
2225 PONCE BYP, STE 709, PONCE, PR 00717-1321
(787) 259-1265
(787) 259-1266
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4575
PR
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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