| Vive Psicologia Integral Llc | |
|
Carretera 198 Km 21.7 Bo. Arenas Las Piedras PR 00771 | |
| (787) 423-3002 | |
| Not Available |
| Full Name | Vive Psicologia Integral Llc |
|---|---|
| Speciality | Psychologist |
| Location | Carretera 198 Km 21.7, Las Piedras, Puerto Rico |
| Authorized Official Name and Position | Maria Del Pilar Rosa (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7874233002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vive Psicologia Integral Llc Urb Paseo De Los Artesanos 151 Calle Alejandro Lozada Las Piedras PR 00771 Ph: (787) 423-3002 | Vive Psicologia Integral Llc Carretera 198 Km 21.7 Bo. Arenas Las Piedras PR 00771 Ph: (787) 423-3002 |
| NPI Number | 1043819097 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/16/2020 |
| Medicare PECOS PAC ID | 2769882778 |
|---|---|
| Medicare Enrollment ID | O20230914003706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043819097 | NPI | - | NPPES |
| EV778A | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria Del Pilar Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740468537 PECOS PAC ID: 6103001300 Enrollment ID: I20110504000175 |
A.p. Community Mental Services, Corp. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Carr. 198 Desvio Surrillo, K 22.0 Bo. Montones, Las Piedras, PR 00771 Phone: 787-733-6699 Fax: 787-733-1655 | |
N.o.r. Community Mental Health, Corp. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Carr. 198 Km. 22.0, Bo. Montones I, Las Piedras, PR 00771 Phone: 787-716-0050 Fax: 787-733-1655 | |
N.o.r. Community Mental Health, Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 198 Km 22.0, Bo Montones I, Las Piedras, PR 00771 Phone: 787-716-0050 Fax: 787-733-1655 | |
Servicios Psicologicos Renuevate Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 198 Km 22.0, Bo. Montones I, Las Piedras, PR 00771 Phone: 787-716-0050 |