Provider Demographics
NPI:1588458756
Name:PSICOTERAPEUTICO AGAPEPC
Entity type:Organization
Organization Name:PSICOTERAPEUTICO AGAPEPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:APONTE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSICOLOGA
Authorized Official - Phone:787-214-4596
Mailing Address - Street 1:BARRIO OLIMPO
Mailing Address - Street 2:#300 CALLE 4
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:787-214-4596
Mailing Address - Fax:
Practice Address - Street 1:CALLE PALMER #22 SUR ESQUINA BALDORIOTY
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-214-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty