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NPI Code Detail

MEDICARE: VIDAS EN BALANCE

MEDICARE: VIDAS EN BALANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1952265266
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIDAS EN BALANCE
Provider Business Mailing Address
First Line : 445 CALLE GAVIELA
Second Line :
City : ARECIBO
State : PR
Zip : 00612-5974
Country : US
Telephone Number : 787-374-9005
Fax Number :
Provider Business Practice Location Address
First Line : LOS PINOS II
Second Line : G4 CALLE GAVIELA
City : ARECIBO
State : PR
Zip : 00612-5974
Country : US
Telephone Number : 787-374-9005
Fax Number :
Authorized Official
Title or Position : PRESIDENTA
Name : IVANYS PEREZ DELGADO
Credential : LIC
Telephone Number : 787-374-9005
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “VIDAS EN BALANCE ” Practice Location

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