Organization · NPI-2

Alternative Life LLC

Psychologist, Clinical · Guaynabo, PR

NPI number1083383152

StatusActive

Last updated in NPPESSep 10, 2021

Details

NPI: 1083383152
Entity type: Organization (NPI-2)
Legal business name: Alternative Life LLC
Organization subpart: No
Enumeration date: Sep 10, 2021
Certification date: Aug 26, 2021
Last updated: Sep 10, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	–	–	Yes

Practice location

Carr. 833 Km 12.2 Barrio Santa Rosa III
Guaynabo, PR 00969

Phone 787-435-2321

Mailing address

Urb. Villa Espana Calle Las Mercedes P58
Bayamon, PR 00961

Phone 787-435-2321

Authorized official

Coralia K Maldonado
Presidente
7874352321

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