Provider Demographics
NPI:1386220572
Name:JEM PSYCHOLOGISTS GROUP INC.
Entity Type:Organization
Organization Name:JEM PSYCHOLOGISTS GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:787-901-1825
Mailing Address - Street 1:70 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-1635
Mailing Address - Country:US
Mailing Address - Phone:787-901-1825
Mailing Address - Fax:
Practice Address - Street 1:70 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1635
Practice Address - Country:US
Practice Address - Phone:787-901-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty