| Centro De Balance Emocional Llc | |
|
67 Calle Pavia Fernandez San Sebastian PR 00685-2207 | |
| (787) 920-1310 | |
| Not Available |
| Full Name | Centro De Balance Emocional Llc |
|---|---|
| Speciality | Psychologist |
| Location | 67 Calle Pavia Fernandez, San Sebastian, Puerto Rico |
| Authorized Official Name and Position | Mineira I Serrano Morales (PRESIDENT) |
| Authorized Official Contact | 7879201310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Balance Emocional Llc Hc 6 Box 133040 San Sebastian PR 00685-6306 Ph: (787) 920-1310 | Centro De Balance Emocional Llc 67 Calle Pavia Fernandez San Sebastian PR 00685-2207 Ph: (787) 920-1310 |
| NPI Number | 1790242337 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 2365824869 |
|---|---|
| Medicare Enrollment ID | O20220731000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790242337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mineira I Serrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316950900 PECOS PAC ID: 4183795347 Enrollment ID: I20111024000308 |
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