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100 Luis Munoz Marin Ave. Caguas PR 00725-4081 | |
| (787) 653-3434 | |
| (787) 653-1280 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 100 Luis Munoz Marin Ave., Caguas, Puerto Rico |
| Authorized Official Name and Position | Orlando Rivera (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7876533434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4980 Caguas PR 00726-4980 Ph: (787) 653-3434 | 100 Luis Munoz Marin Ave. Caguas PR 00725-4081 Ph: (787) 653-3434 |
| NPI Number | 1669725990 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669725990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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