Benjamin Pellot

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Moca, PR

NPI 1205028958 · NPPES record last updated Aug 16, 2007

Key facts

NPI
1205028958
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
Carr 444 KM5 HC7
Bo. Rocha
Moca, PR 00676-9711
Phone
(787) 891-2360
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

Carr 444 KM5 HC7
Bo. Rocha
Moca, PR 00676-9711

Mailing address

Carr 444 KM5 HC7
Bo. Rocha
Moca, PR 00676-9711
Phone (787) 891-2360

Other providers in Moca, PR

All providers in Moca, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.