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Ave Americo Miranda Centro Medico De Puerto Rico Edif Principal Escuela De Medicina San Juan PR 00929-0134 | |
| (787) 758-2525 | |
| (787) 274-8156 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Ave Americo Miranda Centro Medico De Puerto Rico, San Juan, Puerto Rico |
| Authorized Official Name and Position | Myriam Troche (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7877582525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 26134 San Juan PR 00929-0134 Ph: (787) 758-2525 | Ave Americo Miranda Centro Medico De Puerto Rico Edif Principal Escuela De Medicina San Juan PR 00929-0134 Ph: (787) 758-2525 |
| NPI Number | 1336303924 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 12/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336303924 | NPI | - | NPPES |
| 28014 | Other | PR | 28014 PROVIDER NUMBER PSICH. GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Dr. Edgar O. Caro Cruz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Calle Benito Feijoo, Urbanizacion Villas Del Este, San Juan, PR 00926 Phone: 787-370-0310 | |
Servicios Psicoligicos Raigambre Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Plaza Cupey Gardens Sector 3, San Juan, PR 00936 Phone: 787-292-0205 Fax: 787-292-0205 | |
D & B Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Calle Cornell, Urb. University Gardens, San Juan, PR 00927 Phone: 787-536-6161 | |
Alternativas Psicologicas Centro De Terapias Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Ave Domenech # A, San Juan, PR 00918 Phone: 787-598-0606 |