| Lsr Group, Llc | |
|
Calle Jose De Diego 153 Posterior Cayey PR 00736 | |
| (787) 595-0594 | |
| Not Available |
| Full Name | Lsr Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | Calle Jose De Diego 153 Posterior, Cayey, Puerto Rico |
| Authorized Official Name and Position | Letyann Santiago (PRESIDENTA) |
| Authorized Official Contact | 7872053056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsr Group, Llc 227 Calle Marcial Bosch Cayey PR 00736-5116 Ph: (787) 205-3056 | Lsr Group, Llc Calle Jose De Diego 153 Posterior Cayey PR 00736 Ph: (787) 595-0594 |
| NPI Number | 1396521332 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/02/2023 |
| Medicare PECOS PAC ID | 3577909522 |
|---|---|
| Medicare Enrollment ID | O20240312003886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396521332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Letyann Santiago Reyes |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1588335319 PECOS PAC ID: 8325424971 Enrollment ID: I20221005000229 |
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