Psicologos Clinicos Del Santurce Medical Mall, Csp

NPI #1093001729 in San Juan, Puerto Rico

Provider Information

NPI Number
1093001729
Entity Type
Organization
Organization Name
Psicologos Clinicos Del Santurce Medical Mall, Csp
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jun 21, 2011
Last Updated
Jun 21, 2011

Practice Location

Address
1801 AVE PONCE DE LEON
Address 2
SUITE 311
ZIP Code
00909-1900
Phone
(787) 727-2424

Authorized Official

Name
DR. MARIA ELIZABETH CHAVEZ, PH.D.
Title
PRESIDENT
Phone
(787) 727-2424

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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