DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTRO PSICOLOGICO ILO, INC.

MEDICARE: CENTRO PSICOLOGICO ILO, INC.
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
1103TC0700XClinical Psychologist
21041C0700XClinical Social Worker
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1902239114
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO PSICOLOGICO ILO, INC.
Provider Business Mailing Address
First Line : CALLE RUBI VILLA BLANCA #31
Second Line :
City : CAGUAS
State : PR
Zip : 00725-1933
Country : US
Telephone Number : 787-672-8096
Fax Number :
Provider Business Practice Location Address
First Line : SAN ALFONSO D12 CALLE MIS AMORES
Second Line :
City : CAGUAS
State : PR
Zip : 00725-5821
Country : US
Telephone Number : 787-930-3144
Fax Number :
Authorized Official
Title or Position : PRESIDENTE
Name : IVELISSE LOPEZ
Credential : PSYD
Telephone Number : 787-930-3144
Provider Enumeration Date : 08/12/2013
Last Update Date : 04/02/2025

Similar Medicare Providers

1639013790 — NICOLE A ANDINO CRUZ PSY
Practice Location Address:
D12 CALLE MIS AMORES
CAGUAS, PR
00725-5821
Practice Phone: 787-930-3144
Practice Fax:
1083558142 — KEISHLA L VALDEZ MORET PSY
Practice Location Address:
D12 CALLE MIS AMORES
CAGUAS, PR
00725-5821
Practice Phone: 787-390-3144
Practice Fax:
1629202098 — GRETZA M. PINEIRO PSY. D.
Practice Location Address:
D12 CALLE MIS AMORES , URB. SAN ALFONSO
CAGUAS, PR
00725-5821
Practice Phone: 787-930-3144
Practice Fax:
1497326854 — EVELYN ROSA
Practice Location Address:
D12 CALLE MIS AMORES
CAGUAS, PR
00725-5821
Practice Phone: 787-930-3144
Practice Fax:
1245904564 — STEPHANIE TORRES GONZALEZ STUDENT
Practice Location Address:
D12 CALLE MIS AMORES
CAGUAS, PR
00725-5821
Practice Phone: 787-930-3144
Practice Fax:
1972310720 — MICHELLE I NAZARIO
Practice Location Address:
SAN ALFONSO D12 CALLE MIS AMORES
CAGUAS, PR
00725-5821
Practice Phone: 787-930-3144
Practice Fax:

Directions to “CENTRO PSICOLOGICO ILO, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.