| Psy Clinic | |
|
Legacy Office Park Suite 102 Coto Laurel PR 00780 | |
| (787) 813-2222 | |
| (787) 813-2222 |
| Full Name | Psy Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | Legacy Office Park, Coto Laurel, Puerto Rico |
| Authorized Official Name and Position | Jackeline Velez (DIRECTOR) |
| Authorized Official Contact | 7878132222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psy Clinic Po Box 560 Mercedita PR 00715-0560 Ph: (787) 813-2222 | Psy Clinic Legacy Office Park Suite 102 Coto Laurel PR 00780 Ph: (787) 813-2222 |
| NPI Number | 1366930133 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 01/21/2022 |
| Medicare PECOS PAC ID | 7113380643 |
|---|---|
| Medicare Enrollment ID | O20230830003006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930133 | NPI | - | NPPES |
| 1902055023 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Puerto Rico) | Primary |
| Provider Name | Jackeline Velez Irizarry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902055023 PECOS PAC ID: 9335305531 Enrollment ID: I20120716000157 |
| Provider Name | Nickole J Berrios-santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205228459 PECOS PAC ID: 2668826132 Enrollment ID: I20231002003789 |
Dr. Ramon Rodriguez Ramos Csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Ave Central #111, Coto Laurel, PR 00780 Phone: 787-848-4000 Fax: 787-848-4000 | |
Centro Vacunacion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Calle Central, Coto Laurel, PR 00780 Phone: 787-848-7532 Fax: 787-848-7532 | |
Rca Gastro Services P.s.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305a Torre San Cristobal, Coto Laurel, PR 00780 Phone: 787-717-4010 Fax: 787-569-8301 | |
Rl Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Central # 111, Coto Laurel, PR 00780 Phone: 787-245-2080 | |
Dra. Danna Perez Toruella Medical Services Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Calle Ambar, Coto Laurel, PR 00780 Phone: 787-486-3009 | |
Quality Medical Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Torre San Cristobal, Coto Laurel, PR 00780 Phone: 787-848-5194 Fax: 787-848-5194 |