Provider Demographics
NPI:1528711231
Name:CLINICA BIENESTAR EMOCIONAL
Entity type:Organization
Organization Name:CLINICA BIENESTAR EMOCIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST - PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-879-2098
Mailing Address - Street 1:ALTURAS DE SAN FELIPE CALLE A-31
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-949-6261
Mailing Address - Fax:787-879-2098
Practice Address - Street 1:CARR #2 KAE 70-1 BO. DOMINGO RUIZ ARECIBO
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00616-9716
Practice Address - Country:US
Practice Address - Phone:787-879-2098
Practice Address - Fax:787-879-2098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty