| Umbrella Of Purpose And Hope Llc | |
|
300 Ave Noel Estrada Isabela PR 00662-3275 | |
| (787) 669-3815 | |
| Not Available |
| Full Name | Umbrella Of Purpose And Hope Llc |
|---|---|
| Speciality | Psychologist |
| Location | 300 Ave Noel Estrada, Isabela, Puerto Rico |
| Authorized Official Name and Position | Marelsa Banuchi (DIRECTOR) |
| Authorized Official Contact | 7876693815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Of Purpose And Hope Llc Po Box 228 Isabela PR 00662-0228 Ph: (787) 669-3815 | Umbrella Of Purpose And Hope Llc 300 Ave Noel Estrada Isabela PR 00662-3275 Ph: (787) 669-3815 |
| NPI Number | 1740834647 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 8224463369 |
|---|---|
| Medicare Enrollment ID | O20200116003033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740834647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marelsa Banuchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760782569 PECOS PAC ID: 7618145004 Enrollment ID: I20110801000147 |
| Provider Name | Stephany V Velez Salas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366077455 PECOS PAC ID: 4587093455 Enrollment ID: I20200330001066 |
| Provider Name | Melanie Acevedo Velez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578292231 PECOS PAC ID: 6709266463 Enrollment ID: I20220712001933 |
| Provider Name | Omar Anibal Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720356066 PECOS PAC ID: 5890179212 Enrollment ID: I20220902002971 |
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