Psicologia Avanzada LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Humacao, PR. Organization (NPI-2).
NPI number1912372889
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1912372889
- Entity type
- Organization (NPI-2)
- Legal business name
- Psicologia Avanzada LLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2015
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 3648 | PR | Yes |
Practice location
Carr 908Calle 26 Ba4 Bo. Tejas
Humacao, PR 00791-4056
Phone 787-852-9331 · Fax 787-719-4681
Mailing address
Aa2 Ave TejasCorreo Villa Pmb 132
Humacao, PR 00791-4349
Phone 787-852-9331 · Fax 787-719-4681
Authorized official
Angel J Rivera Gomez
Presidente
7878529331
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