| NPI | 1649601865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA OTERO President 787-403-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 4161) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PR 4161) |
| 103TH0100X Psychologist, Health Service (Licence: PR 4161) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 953) | |
| 261QH0100X Clinic/Center, Health Services (Licence: PR 13642) | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2014-01-22 |