| Neurodiversamente Llc | |
|
Calle Sergio Cuevas Bustamante Local 327 Ave Manuel Domenech San Juan PR 00918 | |
| (787) 204-6886 | |
| Not Available |
| Full Name | Neurodiversamente Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Calle Sergio Cuevas Bustamante Local 327, San Juan, Puerto Rico |
| Authorized Official Name and Position | Ismarie Soto Infante (PRESIDENTE) |
| Authorized Official Contact | 7872046886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiversamente Llc 74 Calle Convento Santa Isabel PR 00757-3014 Ph: (787) 204-6886 | Neurodiversamente Llc Calle Sergio Cuevas Bustamante Local 327 Ave Manuel Domenech San Juan PR 00918 Ph: (787) 204-6886 |
| NPI Number | 1619862521 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 05/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619862521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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