| Dr Grace Marie Soto-lopez, | |
|
Bo Capa Carr 111 Km 11.1, Moca, PR 00676 | |
| (787) 514-5107 | |
| Not Available |
| Full Name | Dr Grace Marie Soto-lopez |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | Bo Capa Carr 111 Km 11.1, Moca, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598466328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7638 (Puerto Rico) | Primary |
| Entity Name | Open-mind Psychology Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740971746 PECOS PAC ID: 9739542895 Enrollment ID: O20230823001417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grace Marie Soto-lopez, Hc 4 Box 16478, Moca, PR 00676-9663 Ph: (787) 514-5107 | Dr Grace Marie Soto-lopez, Bo Capa Carr 111 Km 11.1, Moca, PR 00676 Ph: (787) 514-5107 |
Nilda Ivelisse Acevedo Hernandez, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 1106, Moca, PR 00676 Phone: 939-200-3629 | |
Dr. Carlos Francisco Luna, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 142 Calle Jose C Barbosa, Moca, PR 00676 Phone: 939-865-9653 Fax: 787-877-6844 | |
Dr. Suly Dairay Illas Mendez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Carr 125 Km 12.6 Bo Capa Vargas, Moca, PR 00676 Phone: 787-642-0559 | |
Laura Ivette Salas-gonzalez, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: Hc 2 Box 11851, Moca, PR 00676 Phone: 787-585-5521 | |
Dr. Carlos Ariel Vale, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 7.1, Edificio Plaza Sol Bo. Voladoras, Moca, PR 00676 Phone: 787-637-9036 | |
Dr. Millianetsie Nieves Gonzalez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 140 Calle Monsenor Jose Torres, Moca, PR 00676 Phone: 787-877-4213 | |
Henry Guerrero, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Carretera 111, Km 11.3 Int, Capa Barreto, Moca, PR 00676 Phone: 787-320-2443 |