| Bienestar Positivo Llc | |
|
Carr 165 Urb Villa Matilde Calle 1 A-8 Local #3 Toa Alta PR 00953-2331 | |
| (787) 360-4933 | |
| Not Available |
| Full Name | Bienestar Positivo Llc |
|---|---|
| Speciality | Psychologist |
| Location | Carr 165 Urb Villa Matilde, Toa Alta, Puerto Rico |
| Authorized Official Name and Position | Mayra S Torres (PRESIDENTE) |
| Authorized Official Contact | 7873604933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bienestar Positivo Llc Hc 46 Box 6244 Dorado PR 00646-9635 Ph: (787) 360-4933 | Bienestar Positivo Llc Carr 165 Urb Villa Matilde Calle 1 A-8 Local #3 Toa Alta PR 00953-2331 Ph: (787) 360-4933 |
| NPI Number | 1487405627 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 2466894530 |
|---|---|
| Medicare Enrollment ID | O20240522000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487405627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mayra S Torres Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740441567 PECOS PAC ID: 4789949553 Enrollment ID: I20180525001691 |
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