Healthcare Provider Details

I. General information

NPI: 1114451465
Provider Name (Legal Business Name): CUIDADO MAS AMOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 04/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 CALLE GEORGETTI
SAN JUAN PR
00925-3607
US

IV. Provider business mailing address

BLK12-28 AVE AGUAS BUENAS SANTA ROSA
BAYAMON PR
00956
US

V. Phone/Fax

Practice location:
  • Phone: 939-276-7611
  • Fax:
Mailing address:
  • Phone: 939-276-7611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARISOL BENITEZ
Title or Position: PRESIDENT
Credential:
Phone: 939-276-7611