| Krs Psychologys Wellness Group Llc | |
|
Carretera 132 Km 22.1 Bo. Canas Plaza Gabriela Ponce PR 00728 | |
| (787) 843-9701 | |
| Not Available |
| Full Name | Krs Psychologys Wellness Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | Carretera 132 Km 22.1 Bo. Canas, Ponce, Puerto Rico |
| Authorized Official Name and Position | Kathiayari Rodriguez Silva (PRESIDENT) |
| Authorized Official Contact | 7874495562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krs Psychologys Wellness Group Llc Po Box 664 Mercedita PR 00715-0664 Ph: (787) 449-5562 | Krs Psychologys Wellness Group Llc Carretera 132 Km 22.1 Bo. Canas Plaza Gabriela Ponce PR 00728 Ph: (787) 843-9701 |
| NPI Number | 1710758941 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 7214373521 |
|---|---|
| Medicare Enrollment ID | O20240308002519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710758941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathiayari Rodriguez Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760101851 PECOS PAC ID: 4587000476 Enrollment ID: I20240314000359 |
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