Organization
LM BEHAVIORAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANA Z MIRANDA BROCO MD (PSYCHIATRIST)
(787) 272-1292
Entity
Organization
Contact information
Practice address
GUAYNABO MEDICAL MALL, 140 AVE. LAS CUMBRES, GUAYNABO, PR 00969
(787) 272-1292
(787) 287-2487
Mailing address
35 JC BORBON SUITE 67, PMB-383, GUAYNABO, PR 00969
(787) 272-1292
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
16449
PR
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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