Provider Demographics
NPI:1528381076
Name:SERVICIOS INTEGRADOS DE PSICOLOGIA, MEDIACION Y ARBITRAJE (SIPMA), INC
Entity Type:Organization
Organization Name:SERVICIOS INTEGRADOS DE PSICOLOGIA, MEDIACION Y ARBITRAJE (SIPMA), INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:ANGELIS
Authorized Official - Last Name:RIVERA FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-638-2621
Mailing Address - Street 1:COND EL CENTRO II AVE. MUNOZ RIVERA 500
Mailing Address - Street 2:SUITE 233
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-638-2621
Mailing Address - Fax:787-758-3256
Practice Address - Street 1:COND EL CENTRO II AVE. MUNOZ RIVERA 500
Practice Address - Street 2:SUITE 233
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918-3309
Practice Address - Country:US
Practice Address - Phone:787-638-2621
Practice Address - Fax:787-758-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2208103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty