Provider Demographics
NPI:1336538065
Name:CENTRO DE SERVICIOS PSICOLOGICOS RESURGIR, P.S.C.
Entity Type:Organization
Organization Name:CENTRO DE SERVICIOS PSICOLOGICOS RESURGIR, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YIDDISH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-677-6065
Mailing Address - Street 1:22 CALLE SOL STE 1
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3820
Mailing Address - Country:US
Mailing Address - Phone:787-677-6065
Mailing Address - Fax:
Practice Address - Street 1:22 CALLE SOL STE 1
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3820
Practice Address - Country:US
Practice Address - Phone:787-677-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty