MEDICARE: DR. IVETTE ARELIS GONZALEZ ADAMES PSY.D

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
1	103TC0700X	Clinical Psychologist	6785	PR

General Provider Information

NPI Number	:	1811574361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IVETTE ARELIS GONZALEZ ADAMES PSY.D

Provider Business Mailing Address
First Line	:	HC 5 BOX 54970
Second Line	:
City	:	HATILLO
State	:	PR
Zip	:	00659-9702
Country	:	US
Telephone Number	:	787-201-1136
Fax Number	:

Provider Business Practice Location Address
First Line	:	ROBERTO CLEMENTE I
Second Line	:	CALLE C CASA 248
City	:	HATILLO
State	:	PR
Zip	:	00659-0065
Country	:	US
Telephone Number	:	787-201-1136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	03/29/2021

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