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Contact Information

SUI GENERIS CLINICA DE SERVICIOS PSICOLOGICOS P.S.C.
47 CALLE MUNOZ RIVERA
TOA ALTA, PR00953
 Phone: 939-338-1984
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Occupational Health

364SX0106X 89 Certified Clinical Nurse Specialist
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SUI GENERIS CLINICA DE SERVICIOS PSICOLOGICOS P.S.C.

NPI Number 1669844338
LBN Legal business name SUI GENERIS CLINICA DE SERVICIOS PSICOLOGICOS P.S.C.
Authorized official ANGELA TABOAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2015
Last updated 10/21/2015 - About 11 years ago
Identifiers
PR License # 3001
PR License # 3962
PR License # 500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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