| Innovation Mental Health Services Corp | |
|
Ave Degetau Urb. Boneville Heights V-18 Caguas PR 00725-5819 | |
| (787) 665-7611 | |
| Not Available |
| Full Name | Innovation Mental Health Services Corp |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | Ave Degetau, Caguas, Puerto Rico |
| Authorized Official Name and Position | Victor M Gonzalez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7876641101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Mental Health Services Corp Ave Degetau Urb. Boneville Heights V-18 Caguas PR 00725-5819 Ph: (787) 665-7611 | Innovation Mental Health Services Corp Ave Degetau Urb. Boneville Heights V-18 Caguas PR 00725-5819 Ph: (787) 665-7611 |
| NPI Number | 1063866440 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063866440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 2465 (Puerto Rico) | Primary |
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