Provider Demographics
NPI:1225808843
Name:INTELLEK LLC
Entity Type:Organization
Organization Name:INTELLEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:LIZAIDA
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:SOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-321-1020
Mailing Address - Street 1:PO BOX 3106
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-3106
Mailing Address - Country:US
Mailing Address - Phone:787-321-1020
Mailing Address - Fax:
Practice Address - Street 1:PR - 734
Practice Address - Street 2:CENTRO COMERCIAL VILLA DEL CARMEN
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-321-1020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service