CLINICA PSICOLOGICA LAS MIRLAS (NPI# 1104485077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104485077 |
| Entity Type | Organization |
| Organization Name | CLINICA PSICOLOGICA LAS MIRLAS |
| Practice Address |
22 Ave Los Veteranos Ensenada PR 00647 |
| Mailing Address |
Po Box 939 Ensenada PR 00647-0939 |
| Practice Telephone | 7876738394 |
| Mailing Telephone | 7876738394 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | DR. GABRIELA ENID LUCIANO (DIRECTOR) |
| Authorized Official Telephone | 7876738394 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 740 Ave Hostos Ste 213, Mayaguez, PR 006821540 | 7876738394 |
| Street Address |
22 AVE LOS VETERANOS |
| City | ENSENADA |
| State | PR |
| Zip Code | 00647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215347927 | Salud Med Center, L.L.C. | Clinic/Center | 22 Ave Los Veteranos, Ensenada, PR 00647 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336639707 | Migrant Health Center Western Region, Inc. | Clinic/Center | Carretera 324 Km 2.1, Bo Ensenada El Batey, Guanica, PR 00647 | 2018-05-11 |
| 1700250214 | Carlos Cintron Vega | Emergency Medical Technician, Paramedic | Lajas Road #633, Ensenada, PR - PUERTO RICO 00647 | 2015-11-20 |
| 1093079980 | Pablo Edgardo Almodovar | Psychologist | Pop-v Pfizer Tower, 996 San Roberto St, Suite 301, San Juan, PR 00647 | 2012-06-26 |
| 1548456908 | Jose Enrique Camacho Colberg Sr. | Internal Medicine | 64 Fragata St, Ensenada, PR 00647 | 2007-09-19 |
| 1710191689 | Laboratorio Clinico Ensenadeno Inc | Clinical Medical Laboratory | 25b Calle Lajas, Avenida Los Veteranos, Ensenada, PR 00647 | 2007-05-10 |
| 1225163728 | Luis A Velez | Legal Medicine | Ave. Los Veteranos, Num 77, Ensenada, PR 00647 | 2007-02-23 |
| 1588706493 | Migrant Health Center Western Region, Inc. | Clinic/Center | Bo. Montalva Num. 23, Ensenada, PR 00647 | 2007-02-14 |
| 1407998859 | Migrant Health Center Western Region,inc | Clinical Medical Laboratory | 23 Bo Montalva, Ensenada Guanica, PR 00647 | 2007-02-13 |
| 1730220625 | Waleska Cintron Rodriguez | General Practice | Bo Montalva 23 Ensenada, Migrant Health Center, Inc, Guanica, PR 00647 | 2007-02-12 |
| 1619013067 | Migrant Health Center | Pharmacy | Bo Montalva 23, Ensenada Guanica, PR 00647 | 2007-01-30 |
| Find all providers in zip 00647 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275489 | Karla Michelle Torres | Psychologist | Calle Jose Cintron 1 Sector Santa Rosa, Bo Santa Rosa 1, Guaynabo, PR 00971 | 2020-11-06 |
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
| 1043819097 | Vive Psicologia Integral LLC | Psychologist | Carretera 198 Km 21.7, Bo. Arenas, Las Piedras, PR 00771 | 2020-10-21 |
| 1780283887 | Emily Rosa Matos | Psychologist | State Road 14, Calle Sargento Gerardo Santiago #15, Aibonito, PR 00705 | 2020-10-20 |
| 1497353015 | Elba Iris Velez Ramos | Psychologist | Urb. Estancias De Valle Verde 9 Calle Riachuelo, Manati, PR 00674-9778 | 2020-10-15 |
| 1942807813 | Wanda Esther Torres Hernandez | Psychologist | Carr 143 Km 46.5, Orocovis, PR 00720 | 2020-10-05 |
| 1851998959 | Jahaira Felix Fermin | Psychologist | 93 Carr 20 Villa Venecia 1, Apt. 8a-1, Guaynabo, PR 00966-4018 | 2020-10-02 |
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.