Healthcare Provider Details

I. General information

NPI: 1306762760
Provider Name (Legal Business Name): INOVA PSYCHOLOGY & INTEGRAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 92.6 BO MEMBRILLO
CAMUY PR
00627
US

IV. Provider business mailing address

24118 CALLE MILENIO
QUEBRADILLAS PR
00678-7274
US

V. Phone/Fax

Practice location:
  • Phone: 787-361-4911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARYANN RAMOS HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-361-4911