Organization · NPI-2

La Clinica De La Albizu Mayaguez

Psychologist, Clinical · Mayaguez, PR

NPI number1801205158
StatusActive
Last updated in NPPESAug 20, 2021

Details

NPI
1801205158
Entity type
Organization (NPI-2)
Legal business name
La Clinica De La Albizu Mayaguez
Organization subpart
Yes
Enumeration date
Aug 11, 2014
Certification date
Aug 3, 2021
Last updated
Aug 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes
231H00000X Audiologist––
235Z00000X Speech-Language Pathologist,––

Other names

  • Universidad Carlos Albizu (Other Name)

Practice location

Carretera #64 Esquina Calle 3,
Urb Industrial Algarrobos
Mayaguez, PR 00680

Phone 787-838-7272

Mailing address

Po Box 9023711
San Juan, PR 00902-3711

Phone 787-725-6500

Other practice locations

151 Calle Tanca
San Juan, PR 00902-3711

Phone 787-725-6500

Authorized official

Maria C Bustillo
Clinical Director
7877256500

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