Clinica Mente Genial Llc | |
7172 Ave. Agustin Ramos Calero Isabela PR 00662 | |
(787) 599-7722 | |
Not Available |
Full Name | Clinica Mente Genial Llc |
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Speciality | Clinic/Center |
Location | 7172 Ave. Agustin Ramos Calero, Isabela, Puerto Rico |
Authorized Official Name and Position | Shirley Cruz Romero (PRESIDENT) |
Authorized Official Contact | 7875997722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinica Mente Genial Llc Urb. Sol Y Mar 508 Paseo Caracoles Isabela PR 00662 Ph: () - | Clinica Mente Genial Llc 7172 Ave. Agustin Ramos Calero Isabela PR 00662 Ph: (787) 599-7722 |
NPI Number | 1780367078 |
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Provider Enumeration Date | 08/11/2023 |
Last Update Date | 08/21/2023 |
Medicare PECOS PAC ID | 1951756956 |
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Medicare Enrollment ID | O20231011002488 |
Identifier | Type | State | Issuer |
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1780367078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Shirley Cruz Romero |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801508130 PECOS PAC ID: 5294107355 Enrollment ID: I20231011002588 |
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