Organization
MENTE ACTIVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAISSELLE MARIE VEGA PHD (EXECUTIVE DIRECTOR)
(787) 677-0503
Entity
Organization
Contact information
Practice address
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 10, PONCE, PR 00716-2610
(787) 677-0503
Mailing address
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS, SUITE 10, PONCE, PR 00716-2610
(787) 677-0503
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
07/25/2016
Last updated
04/17/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up