| Mente Renovada Centro De Intervencion Clinica Social | |
|
Buen Samaritano Medical & Professional Plaza Suite #5 Primer Piso Ave. Severiano Cuevas #18 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 | 7876695124 |
| 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 Suite #5 Primer Piso Ave. Severiano Cuevas #18 Aguadilla PR 00603 Ph: (787) 422-2595 |
| NPI Number | 1487161808 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 7214285485 |
|---|---|
| Medicare Enrollment ID | O20180803001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487161808 | NPI | - | NPPES |
| 1487963484 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 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 |
Dra. Farida M Ramos Suarez Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 2 122.5 Caimital Alto, Aguadilla, PR 00603 Phone: 787-533-1142 | |
Assmca Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Street Sevilla 81urb. Vista Alegre, Urb. Vista Alegre, Aguadilla, PR 00603 Phone: 787-882-0208 | |
Elite Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Western Medical Plaza, Suite 6, Aguadilla, PR 00603 Phone: 393-339-2976 | |
Primary Wound And Ulcer Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Car 110 Km 0.9, Barrio Ceiba Baja, Aguadilla, PR 00603 Phone: 787-891-0055 | |
Consultorio Medico Dr. Jose A. Acevedo Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 107 # Km 2/7, Urb. Villa Haydee # 10, Aguadilla, PR 00603 Phone: 787-891-5663 Fax: 787-891-5663 | |
Gem Cm M Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr #2 Km 122.1, Bo Corrales, Aguadilla, PR 00603 Phone: 787-398-6856 | |
Cdt Diagnostix Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Calle Progreso, Aguadilla, PR 00603 Phone: 787-882-1070 Fax: 787-882-1070 |