| Psychotherapeutic Health System, Psc | |
|
101 Sur Calle Corchado Esquina Nunez Romeu Cayey PR 00736 | |
| (787) 738-7455 | |
| (787) 535-7505 |
| Full Name | Psychotherapeutic Health System, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Sur Calle Corchado, Cayey, Puerto Rico |
| Authorized Official Name and Position | David A Flores (PROPIETARIO) |
| Authorized Official Contact | 7877387455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Health System, Psc Po Box 4960 Pmb 413 Caguas PR 00726-4960 Ph: (787) 738-7455 | Psychotherapeutic Health System, Psc 101 Sur Calle Corchado Esquina Nunez Romeu Cayey PR 00736 Ph: (787) 738-7455 |
| NPI Number | 1467663005 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 06/10/2015 |
| Medicare PECOS PAC ID | 9436462678 |
|---|---|
| Medicare Enrollment ID | O20150717000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467663005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 12370 (Puerto Rico) | Primary |
| Provider Name | Brenda I Mora Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316148067 PECOS PAC ID: 1355253774 Enrollment ID: I20031104000419 |
| Provider Name | David A Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568401073 PECOS PAC ID: 0042230039 Enrollment ID: I20051206000447 |
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