| Nova Therapy, Inc. | |
|
2231 Paseo Amapola Urb Levitown Toa Baja PR 00949-4310 | |
| (787) 674-4283 | |
| Not Available |
| Full Name | Nova Therapy, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2231 Paseo Amapola, Toa Baja, Puerto Rico |
| Authorized Official Name and Position | Rafael D Nieves-rivera (PRESIDENT) |
| Authorized Official Contact | 7876744283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Therapy, Inc. 2231 Paseo Amapola Urb Levitown Toa Baja PR 00949-4310 Ph: (787) 674-4283 | Nova Therapy, Inc. 2231 Paseo Amapola Urb Levitown Toa Baja PR 00949-4310 Ph: (787) 674-4283 |
| NPI Number | 1225437189 |
|---|---|
| Provider Enumeration Date | 08/17/2014 |
| Last Update Date | 08/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225437189 | NPI | - | NPPES |
| 3466 | Other | PR | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3466 (Puerto Rico) | Primary |
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