Provider Demographics
NPI:1679861645
Name:PRPSYCCLINICA INTEGRAL DE SERVICIOS PSICOTERAPEUTICOS Y EDUCATIVOS INC
Entity Type:Organization
Organization Name:PRPSYCCLINICA INTEGRAL DE SERVICIOS PSICOTERAPEUTICOS Y EDUCATIVOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYDEE
Authorized Official - Middle Name:LIZ
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:PSY'D
Authorized Official - Phone:787-372-4130
Mailing Address - Street 1:HC 60 BOX 29241-10
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9233
Mailing Address - Country:US
Mailing Address - Phone:787-372-4130
Mailing Address - Fax:
Practice Address - Street 1:HC 60 BOX 29241-10
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9233
Practice Address - Country:US
Practice Address - Phone:787-372-4130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty