| Beautiful Mind | |
|
Ave. Rafael Colon Castro #3, Urb. Radioville Suite 2 Arecibo PR 00612 | |
| (939) 649-9689 | |
| Not Available |
| Full Name | Beautiful Mind |
|---|---|
| Speciality | Clinic/Center |
| Location | Ave. Rafael Colon Castro #3, Urb. Radioville, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Richard Nieves Hernandez (PRESIDENTE) |
| Authorized Official Contact | 9392447013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Mind Hc 1 Box 8054 Hatillo PR 00659-7360 Ph: (939) 244-7013 | Beautiful Mind Ave. Rafael Colon Castro #3, Urb. Radioville Suite 2 Arecibo PR 00612 Ph: (939) 649-9689 |
| NPI Number | 1902541758 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/19/2022 |
| Medicare PECOS PAC ID | 7517347057 |
|---|---|
| Medicare Enrollment ID | O20220630001543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902541758 | NPI | - | NPPES |
| Provider Name | Richard Nieves Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992395776 PECOS PAC ID: 9335529874 Enrollment ID: I20220630002129 |
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