Provider Demographics
NPI:1427919695
Name:MENTEVIVA LLC
Entity type:Organization
Organization Name:MENTEVIVA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRABAJADORA SOCIAL CLINICA
Authorized Official - Prefix:
Authorized Official - First Name:JANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-485-4033
Mailing Address - Street 1:URB. REMANSO DE CABO ROJO CALLE TACHUELO # 1081
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623
Mailing Address - Country:US
Mailing Address - Phone:787-485-4033
Mailing Address - Fax:
Practice Address - Street 1:23B CALLE NELSON PEREA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4946
Practice Address - Country:US
Practice Address - Phone:787-485-4033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENTEVIVA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-18
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty