| Clinica De Servicios Psicologicos Y Del Desarrollo, C.s.p. | |
|
2045 Ave Pedro Albizu Campos Ste 2 Aguadilla PR 00603 | |
| (939) 339-1402 | |
| (866) 241-8068 |
| Full Name | Clinica De Servicios Psicologicos Y Del Desarrollo, C.s.p. |
|---|---|
| Speciality | Psychologist |
| Location | 2045 Ave Pedro Albizu Campos Ste 2, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Grisselle Cordero Mendez (PRESIDENT) |
| Authorized Official Contact | 9393391402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Servicios Psicologicos Y Del Desarrollo, C.s.p. 2045 Ave Pedro Albizu Campos Ste 2 Aguadilla PR 00603 Ph: (939) 339-1402 | Clinica De Servicios Psicologicos Y Del Desarrollo, C.s.p. 2045 Ave Pedro Albizu Campos Ste 2 Aguadilla PR 00603 Ph: (939) 339-1402 |
| NPI Number | 1063853505 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 07/12/2013 |
| Medicare PECOS PAC ID | 5294062824 |
|---|---|
| Medicare Enrollment ID | O20190806000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063853505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Grisselle Cordero Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023245735 PECOS PAC ID: 8628258480 Enrollment ID: I20110210000823 |
| Provider Name | Idania L Arroyo Perez |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1356633002 PECOS PAC ID: 8426390949 Enrollment ID: I20190503000149 |
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