| Home Psychiatric Service Corp | |
|
222 Calle Marina Aguada PR 00602-3215 | |
| (787) 202-6967 | |
| Not Available |
| Full Name | Home Psychiatric Service Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 222 Calle Marina, Aguada, Puerto Rico |
| Authorized Official Name and Position | Ariel Cortes Badillo (VICE PRESIDENTE) |
| Authorized Official Contact | 7872026967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Psychiatric Service Corp 222 Calle Marina Aguada PR 00602-3215 Ph: (787) 202-6967 | Home Psychiatric Service Corp 222 Calle Marina Aguada PR 00602-3215 Ph: (787) 202-6967 |
| NPI Number | 1033924774 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 1456875541 |
|---|---|
| Medicare Enrollment ID | O20250410001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033924774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jose L Elias |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184708000 PECOS PAC ID: 8527088624 Enrollment ID: I20051205000528 |
| Provider Name | Ariel Cortes Badillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245585231 PECOS PAC ID: 1254566474 Enrollment ID: I20131024000816 |
| Provider Name | Jairo David Colon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215167275 PECOS PAC ID: 1951604859 Enrollment ID: I20250116003756 |
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