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NPI Code Detail

MEDICARE: ALBIZU CLINIC

MEDICARE: ALBIZU CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1205517158
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBIZU CLINIC
Provider Business Mailing Address
First Line : PO BOX 9023711
Second Line :
City : SAN JUAN
State : PR
Zip : 00902-3711
Country : US
Telephone Number : 787-993-3885
Fax Number :
Provider Business Practice Location Address
First Line : 151 TANCA STREET
Second Line :
City : SAN JUAN
State : PR
Zip : 00902-3711
Country : US
Telephone Number : 787-993-3885
Fax Number :
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. GILDA RODRIGUEZ
Credential : PSY.D
Telephone Number : 787-725-6500
Provider Enumeration Date : 07/25/2023
Last Update Date : 07/25/2023

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Directions to “ALBIZU CLINIC ” Practice Location

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