Organization
MENTECREATIVA BIENESTAR CUERPO-MENTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILDANES SOTO (PRESIDENT)
(787) 650-3711
Entity
Organization
Contact information
Practice address
212 CALLE VENTURA GANDARILLA, COMUNIDAD BUENOS AIRES, ARECIBO, PR 00612
(787) 450-5075
Mailing address
HC03 BOX 13658, UTUADO, PR 00641
(787) 450-5075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
02/25/2019
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