# CENTRO DE INTERVENCION Y BIENESTAR EMOCIONAL L.P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Intervencion y Bienestar Emocional
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154022564
- **Authorized official:** DR. YAIRALYS FELICIANO DR (PRESIDENT)
- **Authorized official phone:** (939) 454-5572

## Contact information

- **Practice address:** AVE ESTEVES 10, UTUADO, PR 00641
- **Practice address phone:** (939) 334-4517
- **Mailing address:** PO BOX 819, PMB 522, LARES, PR 00669
- **Mailing address phone:** (939) 334-4517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/15/2023