Great Minds Of Puerto Rico Researchers & Clinical Psychologist Psc | |
Urb Golden Hill Bo Las Cuevas Suite 3 Trujillo Alto PR 00977-0000 | |
(787) 579-6075 | |
Not Available |
Full Name | Great Minds Of Puerto Rico Researchers & Clinical Psychologist Psc |
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Speciality | Clinic/Center |
Location | Urb Golden Hill Bo Las Cuevas, Trujillo Alto, Puerto Rico |
Authorized Official Name and Position | Yazmin Selles (PRESIDENT) |
Authorized Official Contact | 7875796075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Minds Of Puerto Rico Researchers & Clinical Psychologist Psc Po Box 660 Gurabo PR 00778-0660 Ph: (787) 579-6075 | Great Minds Of Puerto Rico Researchers & Clinical Psychologist Psc Urb Golden Hill Bo Las Cuevas Suite 3 Trujillo Alto PR 00977-0000 Ph: (787) 579-6075 |
NPI Number | 1962678441 |
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Provider Enumeration Date | 05/05/2008 |
Last Update Date | 05/05/2008 |
Medicare PECOS PAC ID | 4789751314 |
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Medicare Enrollment ID | O20080924000389 |
Identifier | Type | State | Issuer |
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1962678441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3058 (Puerto Rico) | Primary |
Provider Name | Yazmin Selles |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144498973 PECOS PAC ID: 0749354975 Enrollment ID: I20080805000818 |
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