| NPI | 1568950715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RIOS ROMAN Administrador 787-612-7997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TH0004X Psychologist Health | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |