# CREATIVE THERAPY CENTER, CSP

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

## Provider details

- **NPI number:** 1730503541
- **Authorized official:** DR. CORAL RIVERA PHD (PRESIDENT)
- **Authorized official phone:** (787) 637-1159

## Contact information

- **Practice address:** CARR 167, MARGINAL BUENA VISTA U-1, BAYAMON, PR 00961-4477
- **Practice address phone:** (787) 637-1159
- **Practice address fax:** (787) 545-4246
- **Mailing address:** PO BOX 4193, BAYAMON, PR 00958-1193
- **Mailing address phone:** (787) 637-1159
- **Mailing address fax:** (787) 545-4246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2286 | PR | Yes |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014