| Livindi, Inc | |
|
100 Ave Ramon L Rodriguez # 1406 Bayamon PR 00959-5900 | |
| (617) 835-8835 | |
| Not Available |
| Full Name | Livindi, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Ave Ramon L Rodriguez # 1406, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Richard M Watkins (FOUNDER) |
| Authorized Official Contact | 5084166026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livindi, Inc The Cottages Villa 13 Dorado PR 00646 Ph: (508) 416-6026 | Livindi, Inc 100 Ave Ramon L Rodriguez # 1406 Bayamon PR 00959-5900 Ph: (617) 835-8835 |
| NPI Number | 1871213512 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 8820474463 |
|---|---|
| Medicare Enrollment ID | O20221005000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871213512 | NPI | - | NPPES |
| 039353300 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessy J Torres Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326060765 PECOS PAC ID: 0749377893 Enrollment ID: I20071106000455 |
| Provider Name | Maria Milagros Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487373635 PECOS PAC ID: 2466838396 Enrollment ID: I20220930000063 |
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