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Organization
CENTRO PSICOLOGICO ILO, INC.
Active
Organization
CENTRO PSICOLOGICO ILO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVELISSE LOPEZ PSYD (PRESIDENTE)
(787) 930-3144
Entity
Organization
Contact information
Practice address
SAN ALFONSO D12 CALLE MIS AMORES, CAGUAS, PR 00725-5821
(787) 930-3144
Mailing address
CALLE RUBI VILLA BLANCA #31, CAGUAS, PR 00725-1933
(787) 672-8096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
04/02/2025
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