Individual
MARYLIN MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO MACHUELO TERRENOS HOSPITAL SAN LUCAS II FINAL, PONCE, PR 00731
(787) 840-6630
(787) 844-4130
Mailing address
PO BOX 877, COAMO, PR 00769-0877
(787) 803-2807
(787) 844-4130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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