Organization
CENTRO DE APOYO INTEGRADO Y KINESIOLOGIA ENERGETICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA PACHECO BOU PHD (EXECUTIVE DIRECTOR)
(787) 633-1382
Entity
Organization
Contact information
Practice address
CONDOMINIO DARLINGTON, 1007 AVE. MUNOZ RIVERA, SUITE 1200, SAN JUAN, PR 00925-2726
(787) 930-9942
Mailing address
COND DARLINGTON, 1007 AVE. MUNOZ RIVERA, SUITE 1201, SAN JUAN, PR 00925-2726
(787) 930-9942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
06/14/2024
Last updated
01/29/2025
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