Provider Demographics
NPI:1679394969
Name:ONIRIC PSYCHOLOGY STUDIO
Entity type:Organization
Organization Name:ONIRIC PSYCHOLOGY STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ AROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:787-356-6130
Mailing Address - Street 1:HC 3 BOX 8349
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9573
Mailing Address - Country:US
Mailing Address - Phone:939-254-0727
Mailing Address - Fax:
Practice Address - Street 1:CENTRO ISABELINO DE MEDICINA AVANZADA (CIMA)
Practice Address - Street 2:SUITE 11
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:939-254-0727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling