Atypical Brains, Llc | |
Medical Center Plaza Num 2 Calle Casia Esq 3se San Juan PR 00921 | |
(939) 399-3255 | |
Not Available |
Full Name | Atypical Brains, Llc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | Medical Center Plaza Num 2, San Juan, Puerto Rico |
Authorized Official Name and Position | Joahnibel Reyes Maysonet (PRESIDENT) |
Authorized Official Contact | 7876367090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atypical Brains, Llc Po Box 270178 San Juan PR 00928-0178 Ph: (939) 399-3255 | Atypical Brains, Llc Medical Center Plaza Num 2 Calle Casia Esq 3se San Juan PR 00921 Ph: (939) 399-3255 |
NPI Number | 1447016746 |
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Provider Enumeration Date | 02/23/2024 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447016746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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