Provider Demographics
NPI:1346988102
Name:ALZHEIMER'S PREVENTION CENTER, LLC
Entity Type:Organization
Organization Name:ALZHEIMER'S PREVENTION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MELENDEZ CABRERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:939-645-8154
Mailing Address - Street 1:PO BOX 262212
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2653
Mailing Address - Country:US
Mailing Address - Phone:939-645-8154
Mailing Address - Fax:
Practice Address - Street 1:708 AVE PONCE DE LEON STE 104
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4502
Practice Address - Country:US
Practice Address - Phone:939-645-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty