| Liliana Keitt-blanks, | |
|
Carr 702 Barrio Palmarejo, Coamo, PR 00769-0913 | |
| (787) 310-4522 | |
| Not Available |
| Full Name | Liliana Keitt-blanks |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | Carr 702 Barrio Palmarejo, Coamo, 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 |
|---|---|---|---|
| 1326461724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5380 (Puerto Rico) | Primary |
| Entity Name | Impact Health Psych Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730781022 PECOS PAC ID: 6204248149 Enrollment ID: O20201217000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Liliana Keitt-blanks, Po Box 913, Coamo, PR 00769-0913 Ph: (787) 310-4522 | Liliana Keitt-blanks, Carr 702 Barrio Palmarejo, Coamo, PR 00769-0913 Ph: (787) 310-4522 |
Brenda Michelle Anglada Rivera, Psychologist Medicare: Medicare Enrolled Practice Location: 65 Calle Baldorioty, Coamo, PR 00769 Phone: 787-614-3205 | |
Dr. Maria D. Rodriguez Rosa, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: Bo. Los Llanos Carr. 14 Km. 27.8, Coamo, PR 00769 Phone: 787-929-5511 | |
Rosa Angelica Rivera Hernandez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Urb. El Eden D8, Coamo, PR 00769 Phone: 787-375-3410 | |
Sharelly Rodriguez Claussell, LCDA Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 2061, Coamo, PR 00769 Phone: 787-667-4884 | |
Ms. Stephanie Rivera Alvarado, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bo. Pulguillas Sector Bomberito, Coamo, PR 00769 Phone: 787-659-3849 | |
Damaris Gonzalez, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 112 Calle Regencia, Coamo, PR 00769 Phone: 787-672-2441 | |
Mr. Daniel David Fraticelli I, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Calle Willie Rosario, Suite 2, Coamo, PR 00769 Phone: 787-461-7518 |