Organization
ADVANCE LOGISTIC PSYCHOLOGICAL EDUCATIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ROSA OTERO M.D. (PSYCHOLOGIST)
(787) 855-7400
Entity
Organization
Contact information
Practice address
KM 4301 CARR. #2, BO. ALGARROBO, VEGA BAJA, PR 00646
(787) 855-7400
Mailing address
22201 CARR.#2, VEGA BAJA, PUERTO RICO 00646
(787) 855-7400
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4161
PR
103TC0700X
Clinical Psychologist
Primary
4161
PR
235Z00000X
Speech-Language Pathologist
953
PR
261QP2300X
Primary Care Clinic/Center
13642
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4161
PUERTO RICO LICENSE PSYCHOLOGY- DRA. MARIA OTERO SURIA
PR
Enumeration date
08/14/2013
Last updated
01/21/2014
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