Healthcare Provider Details

I. General information

NPI: 1700716677
Provider Name (Legal Business Name): SERVICIOS PSICOSOCIALES INTEGRADOS RENACER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 5521 KM 5.0 INTERIOR BO VEGAS ARRIBA
ADJUNTAS PR
00601-9266
US

IV. Provider business mailing address

HC 2 BOX 6497
ADJUNTAS PR
00601-9266
US

V. Phone/Fax

Practice location:
  • Phone: 939-380-4870
  • Fax:
Mailing address:
  • Phone: 939-380-4870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHERINE CRUZ
Title or Position: PROPIETARIA
Credential: LCSW
Phone: 939-380-4870