| Clinica De Terapia Pinceladas De Amor | |
|
H-1 Calle 6 Santa Monica Bayamon PR 00957-1825 | |
| (787) 370-4532 | |
| Not Available |
| Full Name | Clinica De Terapia Pinceladas De Amor |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | H-1 Calle 6, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Viviana Maria Hernandez (PRESIDENT) |
| Authorized Official Contact | 7873704532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Terapia Pinceladas De Amor Urb El Naranjal Calle 1 F6 Toa Baja PR 00949-4208 Ph: (787) 370-4532 | Clinica De Terapia Pinceladas De Amor H-1 Calle 6 Santa Monica Bayamon PR 00957-1825 Ph: (787) 370-4532 |
| NPI Number | 1326674193 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/28/2020 |
| Medicare PECOS PAC ID | 1951715358 |
|---|---|
| Medicare Enrollment ID | O20210126002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326674193 | NPI | - | NPPES |
| 038451900 | Medicaid | PR | |
| 4742618 | Other | PR | IDENTIFICATION NUMBER |
| Provider Name | Viviana Maria Hernandez Torres |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104468313 PECOS PAC ID: 2860806262 Enrollment ID: I20210126002903 |
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