| Clinic/center - Multi-specialty | |
|
3326 Paseo Carmen Toa Baja PR 00949-3136 | |
| (939) 399-3371 | |
| (939) 399-3372 |
| Full Name | Clinic/center - Multi-specialty |
|---|---|
| Speciality | Clinic/Center |
| Location | 3326 Paseo Carmen, Toa Baja, Puerto Rico |
| Authorized Official Name and Position | Brendaly Garcia Morales (PRESIDENTA/DIRECTORA) |
| Authorized Official Contact | 7874621730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic/center - Multi-specialty 3326 Paseo Carmen Toa Baja PR 00949-3136 Ph: (939) 399-3371 | Clinic/center - Multi-specialty 3326 Paseo Carmen Toa Baja PR 00949-3136 Ph: (939) 399-3371 |
| NPI Number | 1174023535 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 10/22/2018 |
| Medicare PECOS PAC ID | 7517291545 |
|---|---|
| Medicare Enrollment ID | O20190625003977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174023535 | NPI | - | NPPES |
| 5672 | Other | PR | LICENSE NUMBER |
| Provider Name | Brendaly Garcia Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306395140 PECOS PAC ID: 1658633862 Enrollment ID: I20180328002705 |
| Provider Name | Leslie M Criado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487984530 PECOS PAC ID: 5092067611 Enrollment ID: I20181024001207 |
| Provider Name | Elizabeth Pena Payero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275098410 PECOS PAC ID: 1254674237 Enrollment ID: I20190514002009 |
| Provider Name | Milca Y Garay Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306325105 PECOS PAC ID: 7113381534 Enrollment ID: I20230918002746 |
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