Organization
ATYPICAL BRAINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAHNIBEL REYES MAYSONET MD (PRESIDENT)
(787) 636-7090
Entity
Organization
Contact information
Practice address
MEDICAL CENTER PLAZA NUM 2, CALLE CASIA ESQ 3SE, SAN JUAN, PR 00921
(939) 399-3255
Mailing address
PO BOX 270178, SAN JUAN, PR 00928-0178
(939) 399-3255
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
03/26/2024
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