| Clinica Psicoalternativas | |
|
386 Ave Domenech San Juan PR 00918-3719 | |
| (787) 567-0070 | |
| Not Available |
| Full Name | Clinica Psicoalternativas |
|---|---|
| Speciality | General Practice |
| Location | 386 Ave Domenech, San Juan, Puerto Rico |
| Authorized Official Name and Position | Miguel Vazquez (ADMINISTRATOR) |
| Authorized Official Contact | 7875670070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Psicoalternativas 386 Ave Domenech San Juan PR 00918-3719 Ph: (787) 567-0070 | Clinica Psicoalternativas 386 Ave Domenech San Juan PR 00918-3719 Ph: (787) 567-0070 |
| NPI Number | 1598383960 |
|---|---|
| Provider Enumeration Date | 07/11/2020 |
| Last Update Date | 07/11/2020 |
| Certification Date | 07/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598383960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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