| Clinica Oliva Servicios Psicologicos Llc | |
|
99 Calle Esteban Padilla Bayamon PR 00959-6703 | |
| (787) 510-7400 | |
| Not Available |
| Full Name | Clinica Oliva Servicios Psicologicos Llc |
|---|---|
| Speciality | Psychologist |
| Location | 99 Calle Esteban Padilla, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Gladys Y Montalvo-gonzalez (MANANGER) |
| Authorized Official Contact | 7875107400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Oliva Servicios Psicologicos Llc 99 Calle Esteban Padilla Bayamon PR 00959-6703 Ph: (787) 510-7400 | Clinica Oliva Servicios Psicologicos Llc 99 Calle Esteban Padilla Bayamon PR 00959-6703 Ph: (787) 510-7400 |
| NPI Number | 1932837838 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 1355727116 |
|---|---|
| Medicare Enrollment ID | O20220930001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932837838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gladys Y Montalvo Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538417456 PECOS PAC ID: 7719290857 Enrollment ID: I20150720001303 |
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