| Psychology Castro Lebron Psc | |
|
168 Ave Barbosa Catano PR 00962-4782 | |
| (939) 262-8213 | |
| Not Available |
| Full Name | Psychology Castro Lebron Psc |
|---|---|
| Speciality | Psychologist |
| Location | 168 Ave Barbosa, Catano, Puerto Rico |
| Authorized Official Name and Position | Ivelisse L Castro Lebron (PRESIDENT) |
| Authorized Official Contact | 9392628213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Castro Lebron Psc A15 Calle Brazil Urb El Jardin Guaynabo PR 00969 Ph: (939) 262-8213 | Psychology Castro Lebron Psc 168 Ave Barbosa Catano PR 00962-4782 Ph: (939) 262-8213 |
| NPI Number | 1417442310 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Medicare PECOS PAC ID | 8224374251 |
|---|---|
| Medicare Enrollment ID | O20190114000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417442310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Ivelisse L Castro Lebron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134523640 PECOS PAC ID: 5395052328 Enrollment ID: I20170607001565 |
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