| Centro De Adiestramiento Terapias Y Desarrollo Educativo Profesional C | |
|
Barrio Voladorada Carretera 111 Km 7.1 Moca PR 00676-9617 | |
| (787) 877-3696 | |
| Not Available |
| Full Name | Centro De Adiestramiento Terapias Y Desarrollo Educativo Profesional C |
|---|---|
| Speciality | Clinic/Center |
| Location | Barrio Voladorada Carretera 111 Km 7.1, Moca, Puerto Rico |
| Authorized Official Name and Position | Carlos Ariel Vale Colon (PRESIDENT) |
| Authorized Official Contact | 7876379063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Adiestramiento Terapias Y Desarrollo Educativo Profesional C Po Box 578 Moca PR 00676-9617 Ph: (787) 877-3696 | Centro De Adiestramiento Terapias Y Desarrollo Educativo Profesional C Barrio Voladorada Carretera 111 Km 7.1 Moca PR 00676-9617 Ph: (787) 877-3696 |
| NPI Number | 1831417674 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/17/2019 |
| Medicare PECOS PAC ID | 7416367412 |
|---|---|
| Medicare Enrollment ID | O20201103001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831417674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Melissa Soto Badillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134781701 PECOS PAC ID: 2769892777 Enrollment ID: I20201103001402 |
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