Organization
CLINICA INTEGRAL & BIENESTAR EMOCIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIRALYS FELICIANO PH. D. (PRESIDENTA)
(939) 334-4517
Entity
Organization
Contact information
Practice address
AVE. ESTEVES #10, UTUADO, PR 00641-9606
(939) 334-4517
Mailing address
PO BOX 144100, ARECIBO, PR 00614-4100
(939) 334-4517
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038167000
—
PR
05
—
039136000
—
PR
Enumeration date
08/27/2021
Last updated
08/27/2021
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