| Medina Vazquez Psychologist Llc | |
|
Carr 2 Int 417 Edf Pucho Pool Local 202 Base #16 Bo Guanabano Aguada PR 00602 | |
| (939) 630-7208 | |
| Not Available |
| Full Name | Medina Vazquez Psychologist Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Carr 2 Int 417 Edf Pucho Pool, Aguada, Puerto Rico |
| Authorized Official Name and Position | Amneris Medina Vazquez (PRESIDENTE) |
| Authorized Official Contact | 9396307208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medina Vazquez Psychologist Llc Po Box 591 Moca PR 00676-0591 Ph: (939) 630-7208 | Medina Vazquez Psychologist Llc Carr 2 Int 417 Edf Pucho Pool Local 202 Base #16 Bo Guanabano Aguada PR 00602 Ph: (939) 630-7208 |
| NPI Number | 1518758804 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518758804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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