Centro Psicologico Ilo Se Llc | |
14 San Vicente Mall Carr Pr3 Km 140.2 Sector Melania Bo Jobos Guayama PR 00784 | |
(787) 558-8718 | |
Not Available |
Full Name | Centro Psicologico Ilo Se Llc |
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Speciality | Psychologist - Clinical |
Location | 14 San Vicente Mall Carr Pr3 Km 140.2, Guayama, Puerto Rico |
Authorized Official Name and Position | Ivelisse Lopez Lopez (PROPIETARIO) |
Authorized Official Contact | 7876728096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centro Psicologico Ilo Se Llc San Alfonso D12 Calle Mis Amores Caguas PR 00725-5128 Ph: (787) 558-8718 | Centro Psicologico Ilo Se Llc 14 San Vicente Mall Carr Pr3 Km 140.2 Sector Melania Bo Jobos Guayama PR 00784 Ph: (787) 558-8718 |
NPI Number | 1427731538 |
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Provider Enumeration Date | 08/08/2023 |
Last Update Date | 08/08/2023 |
Certification Date | 08/04/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427731538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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