| Mente Renovada Centro De Intervencion Clinica Social | |
|
Buen Samaritano Medical & Professional Plaza Tercer Piso Suite #11 Aguadilla PR 00603 | |
| (787) 422-2595 | |
| Not Available |
| Full Name | Mente Renovada Centro De Intervencion Clinica Social |
|---|---|
| Speciality | Clinic/Center |
| Location | Buen Samaritano Medical & Professional Plaza, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Marian Desarden (TRABAJADORA SOCIAL CLINICA) |
| Authorized Official Contact | 7874222595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mente Renovada Centro De Intervencion Clinica Social 219 Calle A Aguada PR 00602-4007 Ph: (787) 669-5124 | Mente Renovada Centro De Intervencion Clinica Social Buen Samaritano Medical & Professional Plaza Tercer Piso Suite #11 Aguadilla PR 00603 Ph: (787) 422-2595 |
| NPI Number | 1487161808 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 08/05/2025 |
| Certification Date | 07/23/2025 |
| Medicare PECOS PAC ID | 7214285485 |
|---|---|
| Medicare Enrollment ID | O20180803001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487161808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 10474 (Puerto Rico) | Primary |
| Provider Name | Marian Desarden Vializ |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487963484 PECOS PAC ID: 7719235993 Enrollment ID: I20180803001417 |
| Provider Name | Selysmarie Martinez Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700323359 PECOS PAC ID: 0446615249 Enrollment ID: I20230501001744 |
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Psicobienestar Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Bo. Caimital Alto Carr #2 Km 121.8 Int, Aguadilla, PR 00603 Phone: 939-433-9076 | |
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Clinica De Servicios Psicologicos Y Del Desarrollo, C.s.p. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2045 Ave Pedro Albizu Campos Ste 2, Aguadilla, PR 00603 Phone: 939-339-1402 Fax: 866-241-8068 | |
Mente En Equilibrio Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Carr 459 Km 6.8, Bo Montana, Aguadilla, PR 00603 Phone: 787-566-3158 | |
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