Revive Holistic Psychology & Wellness Center | |
169 Butare Ave #1 Plaza Real 207 Guaynabo PR 00969 | |
(787) 562-6500 | |
Not Available |
Full Name | Revive Holistic Psychology & Wellness Center |
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Speciality | Psychologist |
Location | 169 Butare Ave #1, Guaynabo, Puerto Rico |
Authorized Official Name and Position | Carol Roldan (PSYCHOLOGIST) |
Authorized Official Contact | 7875626500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Holistic Psychology & Wellness Center 570 La Mancha Mans. Ciudad Jardin Cauas PR 00727-1430 Ph: (787) 562-6500 | Revive Holistic Psychology & Wellness Center 169 Butare Ave #1 Plaza Real 207 Guaynabo PR 00969 Ph: (787) 562-6500 |
NPI Number | 1700227618 |
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Provider Enumeration Date | 07/09/2013 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
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1700227618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 005152 (Puerto Rico) | Primary |
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