| NPI | 1801516448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS W LOPEZ Owner 787-673-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TR0400X Psychologist, Rehabilitation | |
| 261Q00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-02-14 |