Organization
CREACTIVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIANE ENID OTERO PHD (CLINICAL PSYCHOLOGIST)
(787) 517-9282
Entity
Organization
Contact information
Practice address
239 AVE ARTERIAL HOSTOS, CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201, SAN JUAN, PR 00918-1475
(787) 517-9282
Mailing address
239 AVE ARTERIAL HOSTOS, CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201, SAN JUAN, PR 00918-1475
(787) 517-9282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
171000000X
Military Health Care Provider
—
—
261QP2400X
Prison Health Clinic/Center
—
—
Other
Enumeration date
05/12/2025
Last updated
02/05/2026
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