Organization
CENTRO PSICOLOGICO ILO SE LLC
Active
Parent organization
CENTRO PSICOLOGICO ILO, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO PSICOLOGICO ILO, INC.
Authorized official
IVELISSE LOPEZ PSYD (PRESIDENT)
(787) 930-3144
Entity
Organization
Contact information
Practice address
66B JOSEFINA LEGRAND, ESQUINA PALMER, CANOVANAS, PR 00729-0000
(787) 903-9863
Mailing address
SAN ALFONSO, D12 CALLE MIS AMORES, CAGUAS, PR 00725-5128
(787) 558-8718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
04/08/2025
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