# DIAGNOSIS MENTAL HEALTH CLINIC'S LLC

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

## Provider details

- **NPI number:** 1063217909
- **Authorized official:** DR. VICTOR M HERNANDEZ DR (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (787) 208-5315

## Contact information

- **Practice address:** CALLE MANUEL PEREZ AVILES 301, ARECIBO, PR 00641
- **Practice address phone:** (787) 208-5315
- **Mailing address:** PO BOX 171, UTUADO, PR, PR 00641
- **Mailing address phone:** (787) 208-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 02/18/2025