Organization
SPECIAL NEEDS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOAMMY ACEVEDO (PHLMS)
(787) 658-7117
Entity
Organization
Contact information
Practice address
CARR 107 # KM 2/8, WEST PROFESSIONAL BUILDING SUITE H, AGUADILLA, PR 00603-5970
(787) 658-7117
Mailing address
PO BOX 6041, AGUADILLA, PR 00604-6041
(787) 658-7117
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
328161
PR
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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