Clinica Psicoterapeutica Sistemica E Integrativa, Csp | |
Calle Guayama #10 Bo Pueblo Salinas PR 00751 | |
(787) 677-7704 | |
Not Available |
Full Name | Clinica Psicoterapeutica Sistemica E Integrativa, Csp |
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Speciality | Psychologist |
Location | Calle Guayama #10, Salinas, Puerto Rico |
Authorized Official Name and Position | Janis J. Diaz (PRESIDENTA) |
Authorized Official Contact | 7876777704 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinica Psicoterapeutica Sistemica E Integrativa, Csp Po Box 414 Aguirre PR 00704-0414 Ph: (787) 677-7704 | Clinica Psicoterapeutica Sistemica E Integrativa, Csp Calle Guayama #10 Bo Pueblo Salinas PR 00751 Ph: (787) 677-7704 |
NPI Number | 1972879823 |
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Provider Enumeration Date | 03/26/2012 |
Last Update Date | 10/08/2012 |
Medicare PECOS PAC ID | 0042462442 |
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Medicare Enrollment ID | O20121211000407 |
Identifier | Type | State | Issuer |
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1972879823 | NPI | - | NPPES |
1366712226 | Other | PR | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 4104 (Puerto Rico) | Primary |
Provider Name | Janis J Diaz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366712226 PECOS PAC ID: 2567623747 Enrollment ID: I20120416000227 |
Provider Name | Vilma A Roque Nieves |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659001568 PECOS PAC ID: 1951784974 Enrollment ID: I20220823003783 |
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Oficina Psicologa Norma I Velazquez, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Baldorioty # 42, Salinas, PR 00751 Phone: 787-824-6841 Fax: 787-824-6841 | |
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