| Behavioral Wellness Center, Psc | |
|
47 Calle Ruiz Belvis Esquina Con Calle Corchado Caguas PR 00725-3510 | |
| (787) 961-6160 | |
| Not Available |
| Full Name | Behavioral Wellness Center, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Calle Ruiz Belvis, Caguas, Puerto Rico |
| Authorized Official Name and Position | Justo Rodriguez (PRESIDENT/ PSYCHIATRIST) |
| Authorized Official Contact | 7879616160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Wellness Center, Psc Po Box 2054 Caguas PR 00726-2054 Ph: (787) 961-6160 | Behavioral Wellness Center, Psc 47 Calle Ruiz Belvis Esquina Con Calle Corchado Caguas PR 00725-3510 Ph: (787) 961-6160 |
| NPI Number | 1275972168 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 06/24/2013 |
| Medicare PECOS PAC ID | 0345470803 |
|---|---|
| Medicare Enrollment ID | O20140228000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275972168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Justo Rodriguez Maldonado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528037876 PECOS PAC ID: 7810932571 Enrollment ID: I20050622001361 |
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