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Organization

PRESBYTERIAN RESP CARE SERV

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BELISARIO MATTA DE JUAN M.D. (ADMINISTRATIVE PARTNER)
(787) 725-7860
Entity
Organization

Contact information

Practice address
1451 ASHFORD, 2ND FLOOR, SAN JUAN, PR 00907-1511
(787) 725-7860
(787) 722-3630
Mailing address
PMB 423 1357 ASHFORD AVE, SUITE 2, SAN JUAN, PR 00907-1420
(787) 725-7860
(787) 722-3630

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
4154
PR

Other

Enumeration date
12/15/2005
Last updated
06/27/2008
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