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Riaza Integrated Medical Services LLC

Clinic/Center, Health Services in San Juan, PR. Organization (NPI-2).

NPI number1689340853
StatusActive
Last updated in NPPESMar 17, 2022

Details

NPI
1689340853
Entity type
Organization (NPI-2)
Legal business name
Riaza Integrated Medical Services LLC
Organization subpart
No
Enumeration date
Aug 18, 2021
Certification date
Mar 17, 2022
Last updated
Mar 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
101Y00000X Counselor––
103TC0700X Psychologist, Clinical––
103TP2701X Psychologist, Group Psychotherapy––
1041C0700X Social Worker, Clinical––
111N00000X Chiropractor––
163W00000X Registered Nurse––
171100000X Acupuncturist––
2084P0800X Psychiatry & Neurology, Psychiatry––
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
225X00000X Occupational Therapist––
208D00000X General Practice––
2355S0801X Specialist/Technologist, Speech-Language Assistant––
246Q00000X Spec/Tech, Pathology––
246R00000X Technician, Pathology––

Practice location

502 Calle Riaza
San Juan, PR 00923-2120

Phone 787-635-2840

Mailing address

Po Box 21406
San Juan, PR 00928-1406

Phone 787-635-2840

Authorized official

Wanda E Gomez
President
7876352840

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