Organization · NPI-2

Centro De Epilepsia Y Neurologia Avanzada,psc

· Guaynabo, PR

NPI number1306253729
StatusActive
Last updated in NPPESJul 4, 2024

Details

NPI
1306253729
Entity type
Organization (NPI-2)
Legal business name
Centro De Epilepsia Y Neurologia Avanzada,psc
Organization subpart
No
Enumeration date
Jul 17, 2014
Certification date
Jul 4, 2024
Last updated
Jul 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0600X ––Yes
2084E0001X Psychiatry & Neurology, Epilepsy––

Practice location

101 Ave San Patricio
Maramar Plaza Ste 1270
Guaynabo, PR 00968-2645

Phone 787-751-2509 · Fax 787-781-5307

Mailing address

596 Calle Cesar Gonzalez Apt 1124
San Juan, PR 00918-4355

Phone 787-751-2509

Authorized official

Jose Arias Morales
President
7872031771

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