# ASTACIO PSYCHOLOGICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104504919
- **Authorized official:** ARACELYS ASTACIO RUIZ DRA (PRESIDENT)
- **Authorized official phone:** (787) 673-0685

## Contact information

- **Practice address:** LOCAL 5 CARR 402 KM 2.9, VALLEY HILLS PROFESSIONAL CENTER, ANASCO, PR 00610
- **Practice address phone:** (787) 400-5484
- **Mailing address:** URB VALLE REAL CALLE ISABEL 25002, ANASCO, PR 00610
- **Mailing address phone:** (787) 673-0685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2023
- **Last updated:** 07/08/2026