| Mental Health Integrated Services, Inc. | |
|
46 Calle Morell Campos Arecibo PR 00612-4318 | |
| (787) 236-9082 | |
| (787) 878-0683 |
| Full Name | Mental Health Integrated Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 46 Calle Morell Campos, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Gladys A Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7872369082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Integrated Services, Inc. Po Box 3359 Arecibo PR 00613-3359 Ph: (787) 236-9082 | Mental Health Integrated Services, Inc. 46 Calle Morell Campos Arecibo PR 00612-4318 Ph: (787) 236-9082 |
| NPI Number | 1972843662 |
|---|---|
| Provider Enumeration Date | 02/18/2013 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 9739325721 |
|---|---|
| Medicare Enrollment ID | O20130417000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972843662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10447 (Puerto Rico) | Primary |
| Provider Name | Gladys Annette Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982969382 PECOS PAC ID: 5193961183 Enrollment ID: I20130507000027 |
Centro Psicoterapeutico Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Avenida Victor Rojas, Esquina Juan Colon Padilla 19, Arecibo, PR 00612 Phone: 787-879-5550 Fax: 787-879-5550 | |
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