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23 Calle Esmeralda Moca PR 00676-5405 | |
| (787) 800-5217 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 23 Calle Esmeralda, Moca, Puerto Rico |
| Authorized Official Name and Position | Leamsi R Vega Hidalgo (PSYCHOLOGIST) |
| Authorized Official Contact | 7878005217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
386 Calle Diamante Lomas Verde Moca PR 00676 Ph: (787) 800-5217 | 23 Calle Esmeralda Moca PR 00676-5405 Ph: (787) 800-5217 |
| NPI Number | 1659198026 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659198026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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