| Grace Psychology Center Corporation | |
|
110 Calle Borinquen Suite 2-1 Trujillo Alto PR 00976-5981 | |
| (787) 435-8816 | |
| Not Available |
| Full Name | Grace Psychology Center Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 110 Calle Borinquen, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Amalid Roman Marquez (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 7874358816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Psychology Center Corporation 110 Calle Borinquen Suite 2-1 Trujillo Alto PR 00976-5981 Ph: (787) 435-8816 | Grace Psychology Center Corporation 110 Calle Borinquen Suite 2-1 Trujillo Alto PR 00976-5981 Ph: (787) 435-8816 |
| NPI Number | 1508289471 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508289471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5578 (Puerto Rico) | Primary |
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