| Knowledge To Manage Change Llc | |
|
Carr 843 Km 7.4 Lote 19 Urb Vista De Lago Campo Trujillo Alto PR 00976 | |
| (787) 314-8398 | |
| (787) 545-1559 |
| Full Name | Knowledge To Manage Change Llc |
|---|---|
| Speciality | Social Worker |
| Location | Carr 843 Km 7.4 Lote 19, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Rosso Viviana (SOCIAL WORKER) |
| Authorized Official Contact | 7873148398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knowledge To Manage Change Llc 726 Calle Luis Almansa Urb Fair View San Juan PR 00926-7719 Ph: (787) 314-8398 | Knowledge To Manage Change Llc Carr 843 Km 7.4 Lote 19 Urb Vista De Lago Campo Trujillo Alto PR 00976 Ph: (787) 314-8398 |
| NPI Number | 1437540408 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 0749592087 |
|---|---|
| Medicare Enrollment ID | O20150630000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437540408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Viviana Rosso Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912917584 PECOS PAC ID: 8022013937 Enrollment ID: I20060928000155 |
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