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Organization

SANTA CRUZ BEHAVIORAL PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM JULIO DE JESUS JR. M.D. (MEDICAL DIRECTOR)
(787) 798-4592
Entity
Organization

Contact information

Practice address
73 SANTA CRUZ STREET, SUITE 212, BAYAMON, PR 00961
(787) 798-4592
(787) 798-8236
Mailing address
PO BOX 8129, BAYAMON, PR 00960

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
14745
PR
2084P0805X
Geriatric Psychiatry Physician
3032
PR

Other

Enumeration date
10/01/2009
Last updated
10/17/2013
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