Active NPIOrganization

Psicologia Avanzada LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Humacao, Puerto Rico

NPI Number1912372889
Practice location
Carr 908, Calle 26 Ba4 Bo. Tejas, Humacao, PR 00791-4056
Fax
787-719-4681
Last updated
May 8, 2017

Psicologia Avanzada LLC is a healthcare organization based in Humacao, PR. Psicologia Avanzada LLC practices in Humacao, PR. The NPI Number for Psicologia Avanzada LLC is 1912372889 and holds a License No. 3648 (PR). The current practice location address for Psicologia Avanzada LLC is Carr 908, Calle 26 Ba4 Bo. Tejas, Humacao, PR 00791-4056 and can be reached out via phone at 787-852-9331 and via fax at 787-719-4681.

Provider Profile Details

NPI Number
1912372889
Provider Name
Psicologia Avanzada LLC
Provider Entity Type
Organization
Address
Carr 908, Calle 26 Ba4 Bo. Tejas, Humacao, PR 00791-4056
Phone Number
787-852-9331
Fax Number
787-719-4681
Organization Subpart
No
Authorized Official
Dr. Angel J Rivera Gomez, PSY D · Presidente · 787-852-9331
Provider Enumeration Date
December 3, 2015
Last Update Date
May 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 908
Calle 26 Ba4 Bo. Tejas
Humacao, PR 00791-4056
Zip
00791-4056
Phone Number
787-852-9331
Fax Number
787-719-4681
Humacao, PR 00791Get directions →

Provider Business Mailing Address Details

Address
Aa2 Ave Tejas
Correo Villa Pmb 132
Humacao, PR 00791-4349
City
Humacao
State
PR
Zip
00791-4349
Phone Number
787-852-9331
Fax Number
787-719-4681

License Information

License Number
3648
License State
PR

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 Psicologia Avanzada LLC?

The NPI number of Psicologia Avanzada LLC is 1912372889. It was assigned on December 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Psicologia Avanzada LLC?

Psicologia Avanzada LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in PR under license number 3648.

Where does Psicologia Avanzada LLC practice?

The practice location is Carr 908, Calle 26 Ba4 Bo. Tejas, Humacao, PR 00791-4056. The office can be reached at 787-852-9331 (phone) or 787-719-4681 (fax).

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 1912372889 directly on the NPPES registry website.

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