| Clinica De Servicios Integradosn Etapas Llc | |
|
Carretera 123 Km 54.1 Barrio Salto Arriba Sector El Guano Utuado PR 00641-0001 | |
| (787) 397-7387 | |
| Not Available |
| Full Name | Clinica De Servicios Integradosn Etapas Llc |
|---|---|
| Speciality | Psychologist |
| Location | Carretera 123 Km 54.1, Utuado, Puerto Rico |
| Authorized Official Name and Position | Carmen Y Torres (PRESIDENTE) |
| Authorized Official Contact | 7873977387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Servicios Integradosn Etapas Llc Hc 4 Box 10014 Utuado PR 00641-7901 Ph: (787) 397-7387 | Clinica De Servicios Integradosn Etapas Llc Carretera 123 Km 54.1 Barrio Salto Arriba Sector El Guano Utuado PR 00641-0001 Ph: (787) 397-7387 |
| NPI Number | 1962106161 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 2668833757 |
|---|---|
| Medicare Enrollment ID | O20230807000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962106161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carmen Y Torres Cintron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053661330 PECOS PAC ID: 4486015575 Enrollment ID: I20230824001417 |
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