Organization
MPR FIVE TWELVE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIEVA PUIG PHD (ADMINISTRADORA)
(787) 974-2211
Entity
Organization
Contact information
Practice address
512 AVE ANDALUCIA STE 2A, SAN JUAN, PR 00920-0000
(787) 974-2211
Mailing address
512 AVE ANDALUCIA STE 2A, SAN JUAN, PR 00920-0000
(787) 974-2211
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
05/19/2026
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