Provider Demographics
NPI:1275357030
Name:MENTE SANA LLC
Entity type:Organization
Organization Name:MENTE SANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFFIT TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-222-7598
Mailing Address - Street 1:KM HM 7.3 CARR 153 PLAZA SANTA ISABEL
Mailing Address - Street 2:LOCAL 10-B BO. JAUCA II
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:939-222-7598
Mailing Address - Fax:
Practice Address - Street 1:KM HM 7.3 CARR 153 PLAZA SANTA ISABEL
Practice Address - Street 2:LOCAL 10-B BO. JAUCA II
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:939-222-7598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty