| Innovation Mental Health Services Corp | |
|
5 Calle Reparto Montellano Cayey PR 00736-4201 | |
| (787) 664-1101 | |
| Not Available |
| Full Name | Innovation Mental Health Services Corp |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 5 Calle, Cayey, 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 5 Calle Reparto Montellano Cayey PR 00736 Ph: () - | Innovation Mental Health Services Corp 5 Calle Reparto Montellano Cayey PR 00736-4201 Ph: (787) 664-1101 |
| NPI Number | 1306225248 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306225248 | NPI | - | NPPES |
| 103TH0100X | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 2465 (Puerto Rico) | Primary |
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