| Centro Psicoterapeutico | |
|
Local Aa6 Loiza Valley Shopping Center Canovanas PR 00729 | |
| (787) 256-0273 | |
| (787) 876-7856 |
| Full Name | Centro Psicoterapeutico |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Local Aa6, Canovanas, Puerto Rico |
| Authorized Official Name and Position | Nelsa O Rodriguez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7872560273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Psicoterapeutico Po Box 9915 Carolina PR 00988 Ph: (787) 256-0273 | Centro Psicoterapeutico Local Aa6 Loiza Valley Shopping Center Canovanas PR 00729 Ph: (787) 256-0273 |
| NPI Number | 1912075789 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912075789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0475 AND 0474 ASSMCA (Puerto Rico) | Primary |
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