| Servicios Psicologicos Mente-libre | |
|
Torre Medica San Vicente De Paul Suite 410 San German PR 00683 | |
| (787) 531-8479 | |
| Not Available |
| Full Name | Servicios Psicologicos Mente-libre |
|---|---|
| Speciality | Psychologist |
| Location | Torre Medica San Vicente De Paul, San German, Puerto Rico |
| Authorized Official Name and Position | Wigmar Diaz Ramos (PRESIDENT) |
| Authorized Official Contact | 7875318479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios Psicologicos Mente-libre Glenview Calle Eneas F20 Ponce PR 00730 Ph: (787) 531-8479 | Servicios Psicologicos Mente-libre Torre Medica San Vicente De Paul Suite 410 San German PR 00683 Ph: (787) 531-8479 |
| NPI Number | 1497467930 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 9436521093 |
|---|---|
| Medicare Enrollment ID | O20230207002623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497467930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Wigmar Diaz Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649981465 PECOS PAC ID: 0345612909 Enrollment ID: I20230207002702 |
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