Provider Demographics
NPI:1336942721
Name:SERENAMENTE HOLISTICO CSP
Entity type:Organization
Organization Name:SERENAMENTE HOLISTICO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOLMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFONTAINE ARBELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-457-3643
Mailing Address - Street 1:HC 2 BOX 21751
Mailing Address - Street 2:BO SALTOS
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-9238
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 6.4
Practice Address - Street 2:BO PUEBLO
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-457-3643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty