Centro De Psicoterapia | |
Ave. Los Patriotas 502 Lares PR 00669 | |
(787) 374-7192 | |
Not Available |
Full Name | Centro De Psicoterapia |
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Speciality | Psychologist |
Location | Ave. Los Patriotas 502, Lares, Puerto Rico |
Authorized Official Name and Position | Jose Enrique Sarazu (PRESIDENT) |
Authorized Official Contact | 7873747192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centro De Psicoterapia Po Box 1161 Barceloneta PR 00617-1161 Ph: (787) 374-7192 | Centro De Psicoterapia Ave. Los Patriotas 502 Lares PR 00669 Ph: (787) 374-7192 |
NPI Number | 1821690504 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/09/2020 |
Medicare PECOS PAC ID | 5597177022 |
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Medicare Enrollment ID | O20201207002656 |
Identifier | Type | State | Issuer |
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1821690504 | NPI | - | NPPES |
Provider Name | Jose E Sarazu |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346801750 PECOS PAC ID: 1557697422 Enrollment ID: I20190730003392 |
Provider Name | Lissette Guzman Perez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720274491 PECOS PAC ID: 9032507876 Enrollment ID: I20211027000785 |
Provider Name | Laurangelica Cruz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669104352 PECOS PAC ID: 5092199422 Enrollment ID: I20220901003264 |
Elderly Multidisciplinary Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 129 Int 454 Bo Callejones 2nd Floor, Lares, PR 00669 Phone: 787-462-4077 |