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Contact Information

CENTRO INDIVIDUAL DE MEDICINA ESPECIALIZADA LLC
140 AVE LAS CUMBRES
GUAYNABO, PR00969-5523
 Phone: 787-731-5785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adolescent and Children Mental Health

261QM0855X
 

Physical Therapy

261QP2000X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for CENTRO INDIVIDUAL DE MEDICINA ESPECIALIZADA LLC · (Female)

NPI # 1629966007
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2025
Last updated 06/25/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers
  • PR Medicaid 10166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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