Active NPIOrganization

Innova Psychological Group, LLC

Psychologist, Clinical in Dorado, Puerto Rico

NPI Number1861057580
Practice location
Carr 695 Km 2.0, Bo Higuillar, Dorado, PR 00646
Fax
—
Last updated
May 20, 2021

Innova Psychological Group, LLC is a healthcare organization based in Dorado, PR. Innova Psychological Group, LLC practices in Dorado, PR. The NPI Number for Innova Psychological Group, LLC is 1861057580. The current practice location address for Innova Psychological Group, LLC is Carr 695 Km 2.0, Bo Higuillar, Dorado, PR 00646 and can be reached out via phone at 787-315-6034.

Provider Profile Details

NPI Number
1861057580
Provider Name
Innova Psychological Group, LLC
Provider Entity Type
Organization
Address
Carr 695 Km 2.0, Bo Higuillar, Dorado, PR 00646
Phone Number
787-315-6034
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Juan A Gonzalez Rivera, PSYD · Administrator · 939-545-5241
Provider Enumeration Date
May 8, 2019
Last Update Date
May 20, 2021
Certification Date
May 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 695 Km 2.0
Bo Higuillar
Dorado, PR 00646
City
Dorado
Zip
00646
Phone Number
787-315-6034
Dorado, PR 00646Get directions →

Provider Business Mailing Address Details

Address
500 Ave West Main Apt 215
Bayamon, PR 00961-3875
City
Bayamon
State
PR
Zip
00961-3875
Phone Number
787-315-6034

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Innova Psychological Group, LLC?

The NPI number of Innova Psychological Group, LLC is 1861057580. It was assigned on May 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Innova Psychological Group, LLC?

Innova Psychological Group, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Innova Psychological Group, LLC practice?

The practice location is Carr 695 Km 2.0, Bo Higuillar, Dorado, PR 00646. The office can be reached at 787-315-6034 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861057580 directly on the NPPES registry website.

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