Emotional Connect Llc | |
17 Calle 2 Ste 520 Guaynabo PR 00968-1750 | |
(787) 622-9797 | |
(787) 622-9888 |
Full Name | Emotional Connect Llc |
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Speciality | Psychiatry & Neurology |
Location | 17 Calle 2 Ste 520, Guaynabo, Puerto Rico |
Authorized Official Name and Position | Awilda M Broco (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7876229797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emotional Connect Llc 17 Calle 2 Ste 520 Guaynabo PR 00968-1750 Ph: (787) 622-9797 | Emotional Connect Llc 17 Calle 2 Ste 520 Guaynabo PR 00968-1750 Ph: (787) 622-9797 |
NPI Number | 1114676376 |
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Provider Enumeration Date | 03/23/2022 |
Last Update Date | 03/23/2022 |
Certification Date | 03/23/2022 |
Medicare PECOS PAC ID | 9537545074 |
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Medicare Enrollment ID | O20221006000476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114676376 | NPI | - | NPPES |
Provider Name | Luis Joel Rivera Rivera |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174771067 PECOS PAC ID: 4880815026 Enrollment ID: I20141031001324 |
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