|
| |
|
Avenida Pedro Albizu Campos Avenida Pedro Albizu Campos Bo. Machetes Guayama PR 00784-0011 | |
| (787) 437-1700 | |
| (787) 434-1715 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Avenida Pedro Albizu Campos, Guayama, Puerto Rico |
| Authorized Official Name and Position | Lissette Vasquez Rivera (DIRECTOR OF BILLING AND COLLECTION) |
| Authorized Official Contact | 7874341700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1650 Cidra PR 00739-1650 Ph: (787) 434-1700 | Avenida Pedro Albizu Campos Avenida Pedro Albizu Campos Bo. Machetes Guayama PR 00784-0011 Ph: (787) 437-1700 |
| NPI Number | 1952967564 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952967564 | NPI | - | NPPES |
| 6 | Other | PR | LICENCE OF HEALTH DEPARTMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Inspira Mental Health Management Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle 706, La Fuente Town Center Locales 221 222 223, Guayama, PR 00784 Phone: 787-704-0705 Fax: 787-744-7444 | |
Starfish Psychological Services, C.s.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Calle Hostos Norte, Guayama, PR 00784 Phone: 787-686-6242 Fax: 787-686-6241 | |
Centro Psicoterapeutico Del Sur Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Ashford Street #41, Guayama, PR 00784 Phone: 787-243-6031 | |
Jsl Medical Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Hospital Menonita De Guayama, Suite 208, Ave. Pedro Albizu Campos, Urb. La Hacienda, Guayama, PR 00784 Phone: 787-864-4300 |