| Cadif | |
|
1135 65 Intanteria Ave. Iturregui Plaza Suite 207 San Juan PR 00924-3489 | |
| (787) 640-0358 | |
| Not Available |
| Full Name | Cadif |
|---|---|
| Speciality | Psychologist |
| Location | 1135 65 Intanteria Ave., San Juan, Puerto Rico |
| Authorized Official Name and Position | Sally Quinones (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7876400358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadif Po Box 4025 Carolina PR 00984-4025 Ph: (787) 640-0358 | Cadif 1135 65 Intanteria Ave. Iturregui Plaza Suite 207 San Juan PR 00924-3489 Ph: (787) 640-0358 |
| NPI Number | 1235541061 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Medicare PECOS PAC ID | 4486944097 |
|---|---|
| Medicare Enrollment ID | O20160609000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235541061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3285 (Puerto Rico) | Primary |
| Provider Name | Sally Quinones-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376871343 PECOS PAC ID: 2163683210 Enrollment ID: I20120417000204 |
| Provider Name | Venus Coss Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013339654 PECOS PAC ID: 2769788025 Enrollment ID: I20160311001897 |
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