Organization
RECINTO DE CIENCIAS MEDICAS
Active
Other names
Recinto de Ciencias Medicas-(Psicologia-RCM)
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
(787) 758-2525
Entity
Organization
Contact information
Practice address
AVE AMERICO MIRANDA CENTRO MEDICO DE PUERTO RICO, EDIF PRINCIPAL ESCUELA DE MEDICINA, SAN JUAN, PR 00929-0134
(787) 758-2525
(787) 274-8156
Mailing address
PO BOX 26134, SAN JUAN, PR 00929-0134
(787) 758-2525
(787) 274-8156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28014
28014 PROVIDER NUMBER PSICH. GROUP
PR
Enumeration date
07/14/2008
Last updated
12/27/2010
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