Provider Demographics
NPI:1790241784
Name:SERVICIOS PSICOLOGICOS LCDA NATALIA MARQUEZ CORP
Entity Type:Organization
Organization Name:SERVICIOS PSICOLOGICOS LCDA NATALIA MARQUEZ CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSICOLOGA / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCDA
Authorized Official - Phone:787-636-2295
Mailing Address - Street 1:PO BOX 8205
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8205
Mailing Address - Country:US
Mailing Address - Phone:787-636-2295
Mailing Address - Fax:
Practice Address - Street 1:419-1 CALLE LIMA EDIFICIO ANGEL R COLLAZO
Practice Address - Street 2:URBANIZACION EXTENSION FOREST HILLS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-636-2295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5483OtherNATALIA MARQUEZ
PR11785OtherMARITZA H. OCASIO