Provider Demographics
NPI:1972342145
Name:CLINICA PSICOTERAPEUTICA BIENESTAR LLC
Entity type:Organization
Organization Name:CLINICA PSICOTERAPEUTICA BIENESTAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETARIA
Authorized Official - Prefix:
Authorized Official - First Name:IRMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-546-5315
Mailing Address - Street 1:2806 CALLE LA PLATA
Mailing Address - Street 2:URB VILLA DOS RIOS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-546-5315
Mailing Address - Fax:
Practice Address - Street 1:GLENVIEW GARDENS
Practice Address - Street 2:F2 CALLE ESTADIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-1779
Practice Address - Country:US
Practice Address - Phone:787-546-5315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty