Organization
SERVICIOS TERAPEUTICOS INTEGRADOS YACKNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYDIA IRIS HERNANDEZ DRA (PRESIDENTA)
(787) 364-4605
Entity
Organization
Contact information
Practice address
205 CALLE JUAN SAN ANTONIO, MOCA, PR 00676-4144
(787) 364-4605
Mailing address
HC 1 BOX 7066, MOCA, PR 00676-9570
(787) 364-4605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/26/2019
Last updated
10/22/2019
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