Organization
MEDINA VAZQUEZ PSYCHOLOGIST LLC
Active
Other names
BRIGHT MIND PSYCHOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AMNERIS MEDINA VAZQUEZ DRA (PRESIDENTE)
(939) 630-7208
Entity
Organization
Contact information
Practice address
CARR 2 INT 417 EDF PUCHO POOL, LOCAL 202 BASE #16 BO GUANABANO, AGUADA, PR 00602
(939) 630-7208
Mailing address
PO BOX 591, MOCA, PR 00676-0591
(939) 630-7208
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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