| Psychological Empowerment Llc | |
|
Calle Barcelo #12 Esquina 173 Cidra PR 00739 | |
| (939) 241-1944 | |
| Not Available |
| Full Name | Psychological Empowerment Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Calle Barcelo #12 Esquina 173, Cidra, Puerto Rico |
| Authorized Official Name and Position | Elizabeth Cotto Rivera (PSYCHOLOGY) |
| Authorized Official Contact | 9392411944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Empowerment Llc Calle Barcelo #12 Esquina 173 Cidra PR 00739-9563 Ph: (939) 241-1944 | Psychological Empowerment Llc Calle Barcelo #12 Esquina 173 Cidra PR 00739 Ph: (939) 241-1944 |
| NPI Number | 1205420346 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 5991107930 |
|---|---|
| Medicare Enrollment ID | O20210713001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205420346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Cotto Rivera |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1164736054 PECOS PAC ID: 6800298845 Enrollment ID: I20210713001977 |
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