| NPI | 1114225901 |
|---|---|
| Doing Business As | CSCO PONCE |
| Entity Type | Organization |
| Authorized Contact | ANABELLE JORGE Administrator 787-840-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2013-07-02 |