# MIND&BODY PSYCHOLOGICAL INTEGRAL HEALTH INC

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

## Provider details

- **NPI number:** 1538584297
- **Authorized official:** MRS. MONICA PARRA (PRESIDENT)
- **Authorized official phone:** (787) 366-1507

## Contact information

- **Practice address:** 511 AVE DE HOSTOS, SUITE 103, SAN JUAN, PR 00918-3247
- **Practice address phone:** (787) 366-1507
- **Mailing address:** HC 04 PMB 44374, MSC 1244, CAGUAS, PR 00727
- **Mailing address phone:** (787) 366-1507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | PR | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | PR | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 08/05/2015