Healthcare Provider Details

I. General information

NPI: 1912665274
Provider Name (Legal Business Name): JUNTO A TI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CALLE ORION
HUMACAO PR
00791-3917
US

IV. Provider business mailing address

16 CALLE ORION
HUMACAO PR
00791-3917
US

V. Phone/Fax

Practice location:
  • Phone: 787-719-6060
  • Fax:
Mailing address:
  • Phone: 787-719-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BETSY MILEYSHA LOPEZ APONTE
Title or Position: PSYCHOLOGIST CLINICAL
Credential: PSYD
Phone: 787-560-7635