# SMART THERAPY CENTER

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

## Provider details

- **NPI number:** 1356900468
- **Authorized official:** MISS IVONNE M ORTIZ MORALES (PRESIDENTE)
- **Authorized official phone:** (787) 248-9335

## Contact information

- **Practice address:** CARRETERA 802 SECTOR ROLO PACHECO, COROZAL, PR 00783-0529
- **Practice address phone:** (787) 248-9335
- **Mailing address:** PO BOX 529, COROZAL, PR 00783-0529
- **Mailing address phone:** (787) 248-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 261QC1800X | Corporate Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 06/12/2019