Organization
DIAGNOSIS MENTAL HEALTH CLINIC'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M HERNANDEZ DR (CLINICAL PSYCHOLOGIST)
(787) 208-5315
Entity
Organization
Contact information
Practice address
CALLE MANUEL PEREZ AVILES 301, ARECIBO, PR 00641
(787) 208-5315
Mailing address
PO BOX 171, UTUADO, PR, PR 00641
(787) 208-5315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/14/2025
Last updated
02/18/2025
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