Neuro Gi Wellness Centre Psc

NPI 1053455014 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1053455014
Enumeration Date 02/16/2007
Last Updated 09/23/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HENRY HENRY
Position PRESIDENT
Phone (787) 283-0804
Fax (787) 761-5764
Practice Location
200 AVE WINSTON CHURCHILL STE 201
SAN JUAN PR, 00926-6655, US
Phone (787) 283-0804
Fax (787) 761-5764
Business Location
PO BOX 1132
TRUJILLO ALTO PR, 00977-1132, US
Phone (787) 283-0804
Fax (787) 761-5764
Toxanomy
Taxonomy Code 2084N0400X
License State Puerto Rico
License Number 12,865
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According to our database, Neuro Gi Wellness Centre Psc NPI is 1053455014, taxonomy code is 2084N0400X and license number is 12,865, license state is located at Puerto Rico. Neuro Gi Wellness Centre Psc physically located at 200 Ave Winston Churchill Ste 201, San Juan PR, 00926-6655. NPI Number 1033115704 has the healthcare provider type.

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1053455014 NPI number is provided on an as is basis without warranty of any kind. 1053455014 is maintained by the National Plan & Provider Enumeration System. The contents of Neuro Gi Wellness Centre Psc are for informational purposes only.