| Psicomedica Del Oeste Csp | |
|
111 Urbanizacion El Valle Alamo Lajas PR 00667-2502 | |
| (787) 376-7589 | |
| Not Available |
| Full Name | Psicomedica Del Oeste Csp |
|---|---|
| Speciality | Psychologist |
| Location | 111 Urbanizacion El Valle Alamo, Lajas, Puerto Rico |
| Authorized Official Name and Position | Frank R Tapia (PRESIDENT) |
| Authorized Official Contact | 17873767589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psicomedica Del Oeste Csp 111 Urbanizacion El Valle Alamo Lajas PR 00667-2502 Ph: (787) 376-7589 | Psicomedica Del Oeste Csp 111 Urbanizacion El Valle Alamo Lajas PR 00667-2502 Ph: (787) 376-7589 |
| NPI Number | 1023565710 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 01/16/2017 |
| Medicare PECOS PAC ID | 6103101027 |
|---|---|
| Medicare Enrollment ID | O20170315002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023565710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 2024 (Puerto Rico) | Primary |
| Provider Name | Lydia V Perez Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972757169 PECOS PAC ID: 4486873056 Enrollment ID: I20140912001090 |
Rovico Health Care Administrative And Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 Ave. Flamboyan, Road 116 Km.2, Lajas, PR 00667 Phone: 787-808-1835 Fax: 787-899-1835 | |
Migrant Health Center Western Region, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Carretera 101 Km 7.1, Bo Palmarejo, Lajas, PR 00667 Phone: 787-808-1420 Fax: 787-834-1924 |