Provider Demographics
NPI:1902653637
Name:METACOGNITIVA, LLC
Entity type:Organization
Organization Name:METACOGNITIVA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGARRA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:939-454-0762
Mailing Address - Street 1:PO BOX 3286
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3286
Mailing Address - Country:US
Mailing Address - Phone:939-454-0762
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE MEDITACION
Practice Address - Street 2:CENTRO DE SERVICIOS MEDICOS 9B
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:939-454-0762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health