| Delta Wellness Services | |
|
20 Calle Reparto Pinero Urb Pinero San Juan PR 00969-5650 | |
| (787) 644-4120 | |
| Not Available |
| Full Name | Delta Wellness Services |
|---|---|
| Speciality | Psychologist |
| Location | 20 Calle Reparto Pinero, San Juan, Puerto Rico |
| Authorized Official Name and Position | Tatiana M De Leon Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7876444120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Wellness Services Villas Del Pilar C5 Calle 2 San Juan PR 00926-5449 Ph: (787) 644-4120 | Delta Wellness Services 20 Calle Reparto Pinero Urb Pinero San Juan PR 00969-5650 Ph: (787) 644-4120 |
| NPI Number | 1275389637 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 6002357308 |
|---|---|
| Medicare Enrollment ID | O20240925004511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275389637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tatiana M De Leon Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457892440 PECOS PAC ID: 3375802325 Enrollment ID: I20180119000327 |
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