Provider Demographics
NPI:1033977343
Name:ALTERNATIVAS PSICOLOGICAS CENTRO DE TERAPIAS LLC
Entity Type:Organization
Organization Name:ALTERNATIVAS PSICOLOGICAS CENTRO DE TERAPIAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGARIN BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:787-598-0606
Mailing Address - Street 1:VENUS GARDENS NORTE
Mailing Address - Street 2:AD 26 CALLE TEHUACAN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-598-0606
Mailing Address - Fax:
Practice Address - Street 1:403 AVE DOMENECH # A
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2674
Practice Address - Country:US
Practice Address - Phone:787-598-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist