PSICODRAMA PR CP


Address: Carr 2 Km 156.5, 510 Ave Hostos Vista Verde Plaza Suite A-12a, Mayaguez, PR 00681
Phone: 7889752710

PSICODRAMA PR CP (NPI# 1700324092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700324092
Entity Type Organization
Organization Name PSICODRAMA PR CP
Practice Address Carr 2 Km 156.5
510 Ave Hostos Vista Verde Plaza Suite A-12a
Mayaguez
PR 00681
Mailing Address 7 Las Casonas
Aguada
PR 00602-9221
Practice Telephone 7889752710
Mailing Telephone 7879752710
Enumeration Date 2017-02-07
Last Update Date 2017-02-07
Authorized Official Name DR. VANNESSA PAGAN (PRESIDENT)
Authorized Official Telephone 17874005436
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
14054 PR Ambulatory Health Care Facilities

Office Location

Street Address CARR 2 KM 156.5
510 AVE HOSTOS VISTA VERDE PLAZA SUITE A-12A
City MAYAGUEZ
State PR
Zip Code 00681

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841826385 Iocp Optical LLC Optometrist Edificio 101 Mendez Vigo, Mayaguez, PR 00681 2020-03-17
1295365674 Yaniel A Garcia Cortes Pharmacist Carr#2 Puerto Rico, Mayaguez, 00681, Mayaguez, PR 00681 2020-01-24
1922647007 Melissa Ramirez-gonzalez Pharmacy Carr 352 Km 4.6 Bo Leguisamo, Mayaguez, PR 00681 2020-01-06
1942849849 Joshua Rafael Gonzalez Echevarria Nurse Anesthetist, Certified Registered Calle Doctor Barbosa # 15, Mayaguez, PR 00681 2019-12-26
1619516432 Melodie Katherine Padilla Santiago Psychologist Calle Ramon Emeterio Betances, #392, Mayaguez, Pr, PR 00681 2019-12-26
1831757350 Juan Cristian Perez Olmos Family Medicine 410 Carretera 2 Ave Hostos, Bo Sabalos, Mayaguez, PR 00681 2019-05-30
1790342491 Freddie Irizarry-delgado Student in an Organized Health Care Education/Training Program 15 Calle Doctor Basora, Mayaguez, PR 00681 2019-05-29
1720553514 Optical Supercenter Arecibo Corp. Optometrist 4 Calle Zafiro, Vista Verde, Mayaguez, PR 00681 2018-10-08
1194215756 Manuel Morillo Menendez Family Medicine 410 Ave Hostos Carr 2, Bo Sabalos, Mayaguez, PR 00681 2018-05-18
1972017325 Pedro L. Cortes Jr. Psychologist Professional Building Plaza, Avenida Hostos 770 Suite 302, Mayaguez, PR 00681 2017-11-21
Find all providers in zip 00681

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467079749 Migrant Health Center Western Region, Inc. Clinic/Center 185 Ave Dunscombe, Mayaguez, PR 00682-2432 2020-07-02
1891253142 Migrant Health Center Western Region, Inc. Clinic/Center 183 Avenida Dunscombe Interior, Mayaguez, PR 00680-0000 2019-03-06
1669992327 Migrant Health Center Western Region, Inc. Clinic/Center 187 Avenida Dunscombe Interior, Mayaguez, PR 00680-0000 2017-06-23
1487174140 Migrant Health Center Western Region, Inc. Clinic/Center 189 Avenida Dunscombe Interior, Mayaguez, PR 00680-0000 2017-06-23
1568867018 Dra Betsy Ruiz Placido Csp Clinic/Center Cond Medical Center Plz Ste 213, 740 Ave. Hostos, Mayaguez, PR 00682-1539 2014-10-27
1922333145 First Hosptial Panamericano Clinic/Center Western Industrial Park, Roshelise Center Suite 301, Mayaguez, PR 00682 2009-10-06
1225266059 Southwest Health Corporation Clinic/Center Ave. Gonzalez Clemente #445, Bo. Guanajibo, Edif. Val Harbor, Suite 105, Mayaguez, PR 00681 2009-07-01
1326257809 San Juan Capestrano Hospital, Inc. Clinic/Center Office Park Bldg, Suite 104 Carr, Mayaguez, PR 00680 2007-05-22
1700098399 Luis Vargas Clinic/Center 410 Av. Hostos, Mayaguez, PR 00682 2007-05-04
1528523578 Migrant Health Center Western Region, Inc. Clinic/Center 222 Calle San Rafael, Mayaguez, PR 00680-4676 2019-02-04
Find all providers in MAYAGUEZ

Competitor

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City MAYAGUEZ
Zip Code 00681

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Dataset Information

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.

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