Organization
JOSE A. DE LEON Y ASOCIADOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A DE LEON PHD. (PSICOLOGO CLINICO)
(787) 207-8547
Entity
Organization
Contact information
Practice address
11 CALLE FLOR GERENA N, HUMACAO, PR 00791-4288
(787) 202-8547
Mailing address
PO BOX 715, JUNCOS, PR 00777-0715
(787) 202-8547
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1311
PR
261QM0850X
Adult Mental Health Clinic/Center
1311
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1311
PR
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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