Centro Psicoterapeutico Del Sur Corp | |
Ashford Street #41 Guayama PR 00784 | |
(787) 243-6031 | |
Not Available |
Full Name | Centro Psicoterapeutico Del Sur Corp |
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Speciality | Clinic/Center |
Location | Ashford Street #41, Guayama, Puerto Rico |
Authorized Official Name and Position | Maria Nolasco Rosado (PRESIDENT) |
Authorized Official Contact | 7872436031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centro Psicoterapeutico Del Sur Corp Po Box 2635 Guayama PR 00785-0000 Ph: (787) 243-6031 | Centro Psicoterapeutico Del Sur Corp Ashford Street #41 Guayama PR 00784 Ph: (787) 243-6031 |
NPI Number | 1215668975 |
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Provider Enumeration Date | 06/22/2022 |
Last Update Date | 03/13/2023 |
Certification Date | 03/13/2023 |
Medicare PECOS PAC ID | 5698158095 |
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Medicare Enrollment ID | O20220817004056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215668975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Maria Nolasco Rosado |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154857894 PECOS PAC ID: 0840551792 Enrollment ID: I20180309001743 |
Provider Name | Amarelis De Jesus Rosario |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245892702 PECOS PAC ID: 3678944618 Enrollment ID: I20230130001578 |
Provider Name | Julinette Rivera De Jesus |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992485163 PECOS PAC ID: 6002278678 Enrollment ID: I20230814002213 |
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 | |
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Clinica Pies Descalzos Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Ave Los Veteranos B14, Villa Rosa, Guayama, PR 00784 Phone: 787-484-4168 | |
Centro De Salud Conductual Guayama Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nieves Pettite Mall Local # 2, Guayama, PR 00785 Phone: 787-866-2726 Fax: 787-866-0014 | |
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 |