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Organization
NEUROPSICOLOGIA INTEGRA LLC
Active
Organization
NEUROPSICOLOGIA INTEGRA LLC
Active
Other names
Neurorehabilitacion Integra
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH J LOPEZ LIC., M.A. (PRESIDENT)
(787) 896-4748
Entity
Organization
Contact information
Practice address
73 CALLE SANTA CRUZ, SUITE 208, BAYAMON, PR 00961-6910
(787) 981-7778
Mailing address
425 CARR 693, SUITE 396, DORADO, PR 00646-4816
(787) 981-7778
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4134
PR
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
11/09/2015
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