| Sepulveda Psychological Clinic Llc | |
|
Dufresne 19 Suite 1 Humacao PR 00791 | |
| (787) 381-6613 | |
| Not Available |
| Full Name | Sepulveda Psychological Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Dufresne 19 Suite 1, Humacao, Puerto Rico |
| Authorized Official Name and Position | Carmen I Sepulveda (OWNER) |
| Authorized Official Contact | 7873816613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sepulveda Psychological Clinic Llc Urb Palmas Plantation 101 Fairway Dr Humacao PR 00791-6120 Ph: (787) 381-6613 | Sepulveda Psychological Clinic Llc Dufresne 19 Suite 1 Humacao PR 00791 Ph: (787) 381-6613 |
| NPI Number | 1033890348 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 4688014855 |
|---|---|
| Medicare Enrollment ID | O20240505000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033890348 | NPI | - | NPPES |
| Provider Name | Carmen I Sepulveda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437368883 PECOS PAC ID: 4587983325 Enrollment ID: I20150429001777 |
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