# P.R. CLINICAL AND FORENSIC PSYCHOLOGICAL SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033383112
- **Authorized official:** FERNANDO MEDINA (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (787) 384-4013

## Contact information

- **Practice address:** COND. LAS TORRES, SUITE 6E, TORRE SUR,, BAYAMON, PR 00959
- **Practice address phone:** (787) 384-4013
- **Practice address fax:** (787) 785-3985
- **Mailing address:** CALLE EUCALIPTO CB6 RIO HONDO 3, BAYAMON, PR 00961
- **Mailing address phone:** (787) 384-4013
- **Mailing address fax:** (787) 785-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 04/18/2008