| NPI | 1447549209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL A COSME Presidente 787-685-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PR 0444) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PR 0444) |
| 103TC0700X Psychologist Clinical (Licence: PR 1567) | |
| 103TC0700X Psychologist Clinical (Licence: PR 3932) | |
| 103TC0700X Psychologist Clinical (Licence: PR 3649) | |
| 103TC0700X Psychologist Clinical (Licence: PR 3880) | |
| 1041C0700X Social Worker Clinical (Licence: PR 9512) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |