Centro Ambulatorio de Desintoxicacion Y Enlace de PR, Inc.

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Ponce, PR

NPI 1790087609 · NPPES record last updated Nov 29, 2010

Key facts

NPI
1790087609
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
AC-15-62-0034 (PR)
Legal business name
CENTRO AMBULATORIO DE DESINTOXICACION Y ENLACE DE PR, INC.
Practice address
Atocha 120
Ponce, PR 00731
Phone
(787) 409-7030
NPI assigned
Nov 29, 2010
Organization subpart
No

Authorized official

Name
Dr. Martin Scamaroni, M.D.
Title
Ceo
Phone
(787) 407-8944

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X LOC-15-62-0004 PR
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X AC-15-62-0034 PR Yes

Addresses

Primary practice location

Atocha 120
Ponce, PR 00731

Mailing address

PO Box 2000 PMB 10
Mercedita, PR 00717
Phone (787) 409-7030

Other providers in Ponce, PR

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

Sources for this page

Verify at the official NPI Registry.