| Integral Psychology Services Llc | |
|
2279 Ponce By Pass Caribbean Medical Center Edif Anexo Ponce PR 00717 | |
| (787) 409-2110 | |
| Not Available |
| Full Name | Integral Psychology Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2279 Ponce By Pass, Ponce, Puerto Rico |
| Authorized Official Name and Position | Christy M Irizarry Garcia (PRESIDENT / OWNER) |
| Authorized Official Contact | 7876718914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Psychology Services Llc 2279 Ponce By Pass Caribbean Medical Center Edif Anexo Ponce PR 00717 Ph: (787) 409-2110 | Integral Psychology Services Llc 2279 Ponce By Pass Caribbean Medical Center Edif Anexo Ponce PR 00717 Ph: (787) 409-2110 |
| NPI Number | 1750118444 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 4981136892 |
|---|---|
| Medicare Enrollment ID | O20241017000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750118444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christy M Irizarry Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578005799 PECOS PAC ID: 5991087074 Enrollment ID: I20170125001567 |
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