Provider Demographics
NPI:1699976811
Name:CENTRO PSICOLOGICO DEL ATENAS
Entity type:Organization
Organization Name:CENTRO PSICOLOGICO DEL ATENAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SICOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:I
Authorized Official - Last Name:GARCIA DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-884-5591
Mailing Address - Street 1:BULDING 78-1 STREET TO CIALES
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-5591
Mailing Address - Fax:
Practice Address - Street 1:BULDING 78-1 CARR CIALES
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-5591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR157103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84142OtherOPTIMO
PR01338OtherAMERICAN HEALTH
PR84142OtherSELECTO
PR9161OtherINTERNATIONAL
PR84142OtherAPS
PR219194OtherPREFERED HEALTH
PR2198OtherHUMANA
PR087421OtherAMERICAN HEALTH MEDICARE
PR84142OtherSSS
PR84142OtherSELECTO
PR087421OtherAMERICAN HEALTH MEDICARE
PR2198OtherHUMANA