Organization
CENTRO PSICOLOGICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZULMA E MAISONAVE PSY. D (PRESIDENT)
(787) 819-0992
Entity
Organization
Contact information
Practice address
# 151 AVE. PEDRO ALBIZU, SUITE 2, AGUADILLA, PR 00603
(787) 819-0992
Mailing address
PO BOX 4245, AGUADILLA, PR 00605-4245
(787) 819-0992
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1719
PR
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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