# CENTRO PSICOLOGICO LLC

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

## Provider details

- **NPI number:** 1962821918
- **Authorized official:** DR. ZULMA E MAISONAVE PSY. D (PRESIDENT)
- **Authorized official phone:** (787) 819-0992

## Contact information

- **Practice address:** \# 151 AVE. PEDRO ALBIZU, SUITE 2, AGUADILLA, PR 00603
- **Practice address phone:** (787) 819-0992
- **Mailing address:** PO BOX 4245, AGUADILLA, PR 00605-4245
- **Mailing address phone:** (787) 819-0992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1719 | PR | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/07/2014