| NPI | 1740630946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUSTIN RIVERA Partner 787-995-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL acn897) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR XS5786XXX) |
| 101YM0800X Counselor, Mental Health (Licence: FL PMH1453) | |
| 101YP1600X Counselor, Pastoral (Licence: FL 1702-001) | |
| 101YP2500X Counselor, Professional (Licence: PR 557) | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist (Licence: PR 557) | |
| 171M00000X Case Manager/Care Coordinator (Licence: PR 1578) | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-08-05 |