| Clinica Hernandez Y Montalvo, Llc. | |
|
11-16 Carr 174 Bayamon PR 00959-6609 | |
| (787) 510-7400 | |
| Not Available |
| Full Name | Clinica Hernandez Y Montalvo, Llc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 11-16 Carr 174, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Gladys Y Montalvo (VICE-PRESIDENT) |
| Authorized Official Contact | 7873108890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Hernandez Y Montalvo, Llc. 11-16 Carr 174 Bayamon PR 00959-6609 Ph: (787) 510-7400 | Clinica Hernandez Y Montalvo, Llc. 11-16 Carr 174 Bayamon PR 00959-6609 Ph: (787) 510-7400 |
| NPI Number | 1487048468 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487048468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5498 (Palau) | Primary |
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