Provider Demographics
NPI:1629824511
Name:RS PSYCHOLOGICAL ENTERPRISE
Entity type:Organization
Organization Name:RS PSYCHOLOGICAL ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL-COUNSELING PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR
Authorized Official - Phone:787-372-4999
Mailing Address - Street 1:71 CALLE QUINTA REAL
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9308
Mailing Address - Country:US
Mailing Address - Phone:787-372-4999
Mailing Address - Fax:
Practice Address - Street 1:102 CALLE TOMAS CARRION MADURO
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1637
Practice Address - Country:US
Practice Address - Phone:787-372-4999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty