Healthcare Provider Details

I. General information

NPI: 1528711231
Provider Name (Legal Business Name): CLINICA BIENESTAR EMOCIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 70.5 BO. DOMINGO RUIZ
ARECIBO PR
00612-2954
US

IV. Provider business mailing address

ALTURAS DE SAN FELIPE CALLE A-31
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-879-2098
  • Fax: 787-879-2098
Mailing address:
  • Phone: 787-949-6261
  • Fax: 787-879-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE CARRION
Title or Position: CLINICAL PSYCHOLOGIST - PRESIDENT
Credential: PH.D.
Phone: 787-879-2098