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1831592120
SOCIEDAD DE SALUD MENTAL, LLC
COROZAL, PR
NPI
1831592120
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Entity Type
Organization
Authorized Contact
HIPOLITO B COSTA-PEREZ
CEO
787-467-1007
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
SOCIEDAD DE SALUD MENTAL, LLC
118 CARR 159 STE 2B ORTIZ MEDICAL PLAZA
COROZAL, PR 00783-2346
Phone number: 787-859-4973
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Mailing Address
SOCIEDAD DE SALUD MENTAL, LLC
PO BOX 367631
SAN JUAN, PR 00936-7631
Phone number: 787-859-4973
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