Organization Name: | RRR HEALTH SYSTEM GROUP PSC |
NPI Number: | 1164796678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL A. RIQUELME (PRESIDENTE) |
Mailing Address: | 2993 Ave Militar Sector La Curva Isabela |
State: | PR US |
Postal Code: | 00662 |
Phone Number: | 9396407549 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2012 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |