| Clinica Psicologica Dr Hector J Martinez Capella, Llc | |
|
47 Ave Severiano Cuevas Aguadilla PR 00603-5751 | |
| (787) 882-3682 | |
| Not Available |
| Full Name | Clinica Psicologica Dr Hector J Martinez Capella, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Ave Severiano Cuevas, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Hector Martinez (SECRETARIO) |
| Authorized Official Contact | 7876324802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Psicologica Dr Hector J Martinez Capella, Llc Po Box 4249 Aguadilla PR 00605-4249 Ph: (787) 882-3682 | Clinica Psicologica Dr Hector J Martinez Capella, Llc 47 Ave Severiano Cuevas Aguadilla PR 00603-5751 Ph: (787) 882-3682 |
| NPI Number | 1902656895 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 7517405236 |
|---|---|
| Medicare Enrollment ID | O20240813002618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902656895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hector Jose Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780222851 PECOS PAC ID: 9638508575 Enrollment ID: I20200329000350 |
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