Emotional & Mental Consulting Services Csp | |
2225 Ponce Byp Ste 709 Ponce PR 00717-1321 | |
(787) 259-1265 | |
(787) 259-1266 |
Full Name | Emotional & Mental Consulting Services Csp |
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Speciality | Clinic/Center |
Location | 2225 Ponce Byp, Ponce, Puerto Rico |
Authorized Official Name and Position | Alfonso Antonio Hernandez - Ortiz (PRESIDENT) |
Authorized Official Contact | 7872591265 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emotional & Mental Consulting Services Csp 2225 Ponce Byp Ste 709 Ponce PR 00717-1321 Ph: (787) 259-1265 | Emotional & Mental Consulting Services Csp 2225 Ponce Byp Ste 709 Ponce PR 00717-1321 Ph: (787) 259-1265 |
NPI Number | 1821281551 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Medicare PECOS PAC ID | 9133206915 |
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Medicare Enrollment ID | O20080403000084 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821281551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4575 (Puerto Rico) | Primary |
Provider Name | Alfonso A Hernandez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750431953 PECOS PAC ID: 9335241751 Enrollment ID: I20070302000291 |
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Centro C.a.r.e.s Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 Phone: 787-901-7918 | |
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