| Escucha Clinica, Llc | |
|
98 Calle Mayaguez San Juan PR 00917-5116 | |
| (787) 405-5818 | |
| Not Available |
| Full Name | Escucha Clinica, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 98 Calle Mayaguez, San Juan, Puerto Rico |
| Authorized Official Name and Position | Zinnia Santiago (PRESIDENT) |
| Authorized Official Contact | 7874274898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Escucha Clinica, Llc Po Box 9020765 San Juan PR 00902-0765 Ph: (787) 405-5818 | Escucha Clinica, Llc 98 Calle Mayaguez San Juan PR 00917-5116 Ph: (787) 405-5818 |
| NPI Number | 1750997862 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 11/06/2022 |
| Certification Date | 11/06/2022 |
| Medicare PECOS PAC ID | 3779958541 |
|---|---|
| Medicare Enrollment ID | O20230408000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750997862 | NPI | - | NPPES |
| Provider Name | Kenneth J Junco Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255570479 PECOS PAC ID: 1254481864 Enrollment ID: I20090626000278 |
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