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8133 Calle Martin Corchado Ponce PR 00717-1123 | |
| (787) 515-9770 | |
| (787) 259-9040 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8133 Calle Martin Corchado, Ponce, Puerto Rico |
| Authorized Official Name and Position | Mariela Leon-velazquez (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7875159770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Urb. Mariani 8133 Calle Martin Corchado Ponce PR 00717-1123 Ph: (787) 515-9770 | 8133 Calle Martin Corchado Ponce PR 00717-1123 Ph: (787) 515-9770 |
| NPI Number | 1801196787 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801196787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3250 (Puerto Rico) | Primary |
Mente Activa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 775 Calle Caoba, Centro Comercial Los Caobos, Suite 10, Ponce, PR 00716 Phone: 787-677-0503 | |
Pax De Puerto Rico Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Jardines Del Caribe 49, Yy46, Ponce, PR 00731 Phone: 787-644-9925 | |
Hope Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 Phone: 787-404-1645 | |
Vanessa Berrios Ph D & Associados Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2275 Ponce By Pass, Ponce, PR 00717 Phone: 787-290-1111 Fax: 787-290-1111 | |