| NPI | 1548674518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL M COLON Presidente 787-513-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-11-19 |