Organization
PSY CLINIC LLC
Active
Other names
Psy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKELINE VELEZ MD (DIRECTOR)
(787) 813-2222
Entity
Organization
Contact information
Practice address
LEGACY OFFICE PARK, SUITE 102, COTO LAUREL, PR 00780
(787) 813-2222
(787) 813-2222
Mailing address
PO BOX 560, MERCEDITA, PR 00715-0560
(787) 813-2222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902055023
—
PR
Enumeration date
04/27/2018
Last updated
01/21/2022
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