Provider Demographics
NPI:1528113867
Name:PSICOCLINICA FRANCO, C.S.P.
Entity type:Organization
Organization Name:PSICOCLINICA FRANCO, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO DELVALLE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-779-0700
Mailing Address - Street 1:PMB 160 39 ST UU-1 SANTA JUANITA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-779-0700
Mailing Address - Fax:787-779-0700
Practice Address - Street 1:PMB 160 39 ST UU-1 SANTA JUANITA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-779-0700
Practice Address - Fax:787-779-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2330103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057059Medicare ID - Type Unspecified