Organization
INNOVATION MENTAL HEALTH SERVICES CORP
Active
Organization
INNOVATION MENTAL HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR M GONZALEZ PSY.D. (CLINICAL PSYCHOLOGIST)
(787) 664-1101
Entity
Organization
Contact information
Practice address
AVE DEGETAU, URB. BONEVILLE HEIGHTS V-18, CAGUAS, PR 00725-5819
(787) 665-7611
Mailing address
AVE DEGETAU, URB. BONEVILLE HEIGHTS V-18, CAGUAS, PR 00725-5819
(787) 665-7611
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2465
PR
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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