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184 Calle Guadalupe Ponce PR 00730-3561 | |
| (787) 704-0705 | |
| (787) 744-4444 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 184 Calle Guadalupe, Ponce, Puerto Rico |
| Authorized Official Name and Position | Javier Enrique Torres (CONTRACTING DIRECTOR) |
| Authorized Official Contact | 7877040705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9809 Caguas PR 00726-9809 Ph: (787) 704-0705 | 184 Calle Guadalupe Ponce PR 00730-3561 Ph: (787) 704-0705 |
| NPI Number | 1831681436 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831681436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | CASM00341 (Puerto Rico) | Primary |
Mente Activa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 775 Calle Caoba, Centro Comercial Los Caobos, Suite 10, Ponce, PR 00716 Phone: 787-677-0503 | |
Pax De Puerto Rico Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Jardines Del Caribe 49, Yy46, Ponce, PR 00731 Phone: 787-644-9925 | |
Hope Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 Phone: 787-404-1645 | |
Vanessa Berrios Ph D & Associados Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2275 Ponce By Pass, Ponce, PR 00717 Phone: 787-290-1111 Fax: 787-290-1111 | |