# CLINICA MENTE GENIAL LLC

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

## Provider details

- **NPI number:** 1780367078
- **Authorized official:** SHIRLEY CRUZ ROMERO (PRESIDENT)
- **Authorized official phone:** (787) 599-7722

## Contact information

- **Practice address:** 7172 AVE. AGUSTIN RAMOS CALERO, ISABELA, PR 00662
- **Practice address phone:** (787) 599-7722
- **Mailing address:** URB. SOL Y MAR 508 PASEO CARACOLES, ISABELA, PR 00662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 08/21/2023