| Mente Sana Multidisciplinary Clinic Psc | |
|
2 Dr. Pedro Blanco Lugo Torre Medica Suite 253 Manati PR 00674 | |
| (787) 650-3262 | |
| Not Available |
| Full Name | Mente Sana Multidisciplinary Clinic Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Dr. Pedro Blanco Lugo, Manati, Puerto Rico |
| Authorized Official Name and Position | Arturo L Arroba Carpio (PRESIDENTE / PSIQUIATRA) |
| Authorized Official Contact | 7879156444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mente Sana Multidisciplinary Clinic Psc 2 Dr. Pedro Blanco Lugo Torre Medica Suite 253 Manati PR 00674 Ph: (787) 650-3262 | Mente Sana Multidisciplinary Clinic Psc 2 Dr. Pedro Blanco Lugo Torre Medica Suite 253 Manati PR 00674 Ph: (787) 650-3262 |
| NPI Number | 1013300763 |
|---|---|
| Provider Enumeration Date | 03/05/2015 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 0941542393 |
|---|---|
| Medicare Enrollment ID | O20190503002176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013300763 | NPI | - | NPPES |
| 1740430966 | Other | PR | NPI |
| 17831 | Other | PR | LICENCIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 17831 (Puerto Rico) | Primary |
| Provider Name | Arturo L Arroba Carpio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740430966 PECOS PAC ID: 8921279746 Enrollment ID: I20110927000364 |
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