Provider Demographics
NPI:1558254169
Name:NEURO & PSYCHOLOGICAL WELLNESS CLINIC
Entity type:Organization
Organization Name:NEURO & PSYCHOLOGICAL WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSICOLOGA CLINICA
Authorized Official - Prefix:DR
Authorized Official - First Name:ROANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-517-0979
Mailing Address - Street 1:HC 8 BOX 44483
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9160
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 KM 118.9
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-517-0979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty