1548118375 NPI number — CENTRO INTEGRAL DE PSICOLOGIA RENACER

Table of content: (NPI 1548118375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548118375 NPI number — CENTRO INTEGRAL DE PSICOLOGIA RENACER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO INTEGRAL DE PSICOLOGIA RENACER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548118375
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. LOS MONTES
Provider Second Line Business Mailing Address:
482 CALLE PALOMA
Provider Business Mailing Address City Name:
DORADO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00646-9444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-473-0134
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EXT. FOREST HILL,
Provider Second Line Business Practice Location Address:
MARGINAL B13
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-473-0134
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2026

Additional Information

Authorized Official

Authorized Official Last Name:
VAZQUEZ
Authorized Official First Name:
ANGIE
Authorized Official Middle Name:
JULIET
Authorized Official Title or Position:
PSICOLOGA/PRESIDENTA
Authorized Official Telephone Number:
787-380-0258

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com