Innova Psychological Group, LLC
NPI #1861057580 in Dorado, Puerto Rico
Provider Information
- NPI Number
- 1861057580
- Entity Type
- Organization
- Organization Name
- Innova Psychological Group, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 8, 2019
- Last Updated
- May 20, 2021
Practice Location
- Address
- CARR 695 KM 2.0
- Address 2
- BO HIGUILLAR
- City
- Dorado
- State
- Puerto Rico
- ZIP Code
- 00646
- Phone
- (787) 315-6034
Authorized Official
- Name
- DR. JUAN A GONZALEZ RIVERA, PSY.D.
- Title
- ADMINISTRATOR
- Phone
- (939) 545-5241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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