| Centro De Psicoterapia | |
|
Carr 129 Km 25.4 Lares PR 00669 | |
| (787) 374-7192 | |
| Not Available |
| Full Name | Centro De Psicoterapia |
|---|---|
| Speciality | Psychologist |
| Location | Carr 129 Km 25.4, Lares, Puerto Rico |
| Authorized Official Name and Position | Jose Enrique Sarazu (PRESIDENT) |
| Authorized Official Contact | 7873747192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Psicoterapia Po Box 1161 Barceloneta PR 00617-1161 Ph: (787) 374-7192 | Centro De Psicoterapia Carr 129 Km 25.4 Lares PR 00669 Ph: (787) 374-7192 |
| NPI Number | 1821690504 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 07/16/2025 |
| Certification Date | 07/03/2025 |
| Medicare PECOS PAC ID | 5597177022 |
|---|---|
| Medicare Enrollment ID | O20201207002656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821690504 | NPI | - | NPPES |
| Provider Name | Jose E Sarazu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346801750 PECOS PAC ID: 1557697422 Enrollment ID: I20190730003392 |
| Provider Name | Lissette Guzman Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720274491 PECOS PAC ID: 9032507876 Enrollment ID: I20211027000785 |
| Provider Name | Laurangelica Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669104352 PECOS PAC ID: 5092199422 Enrollment ID: I20220901003264 |
Elderly Multidisciplinary Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 129 Int 454 Bo Callejones 2nd Floor, Lares, PR 00669 Phone: 787-462-4077 |