PSICOLOGIA AVANZADA LLC NPI 1912372889

NPI Information

  • NPI: 1912372889
  • Provider Name: PSICOLOGIA AVANZADA LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: CARR 908
    CALLE 26 BA4 BO. TEJAS
    HUMACAO, PR
    ZIP 00791
  • Phone: (787) 852-9331

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NPI Details

PSICOLOGIA AVANZADA LLC is a mental health (including community mental health center) clinic center in Humacao, PR. PSICOLOGIA AVANZADA LLC NPI is 1912372889. The provider is registered as an organization entity type.

The provider's business location address is:

CARR 908
CALLE 26 BA4 BO. TEJAS
HUMACAO, PR
ZIP 00791-056
Phone: (787) 852-9331
Fax: (787) 719-4681

The provider's authorized official is Angel J Rivera Gomez .
The authorized official title is Presidente and has the following contact phone number (787) 852-9331.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 5/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)3648PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EW296AMEDICARE PINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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