Organization
MIND&BODY PSYCHOLOGICAL INTEGRAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA PARRA (PRESIDENT)
(787) 366-1507
Entity
Organization
Contact information
Practice address
511 AVE DE HOSTOS, SUITE 103, SAN JUAN, PR 00918-3247
(787) 366-1507
Mailing address
HC 04 PMB 44374, MSC 1244, CAGUAS, PR 00727
(787) 366-1507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
133V00000X
Registered Dietitian
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
PR
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
PR
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/04/2014
Last updated
08/05/2015
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