MEDICARE: CENTRO PSICOLOGICO Y TERAPEUTICO PARA LA FAMILIA ENCUENTRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1396680070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO PSICOLOGICO Y TERAPEUTICO PARA LA FAMILIA ENCUENTRO

Provider Business Mailing Address
First Line	:	REY ARTURO RIO GRANDE ESTATE
Second Line	:	10413
City	:	RIO GRANDE
State	:	PR
Zip	:	00745
Country	:	US
Telephone Number	:	787-206-5967
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE PASEOS DE LOS GIGANTES VIA 21
Second Line	:	RL9
City	:	CAROLINA
State	:	PR
Zip	:	00983
Country	:	US
Telephone Number	:	787-206-5967
Fax Number	:

Authorized Official
Title or Position	:	AGENTE RESIDENTE
Name	:	LIZEYLA NICOLAU
Credential	:
Telephone Number	:	787-206-5967

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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