Healthcare Provider Details

I. General information

NPI: 1548189491
Provider Name (Legal Business Name): EQUILIBRIO EMOCIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. VISTA AZUL G-5 CALLE MARGINAL
ARECIBO PR
00612-5147
US

IV. Provider business mailing address

PMB 334 BOX 30400
MANATI PR
00674-8614
US

V. Phone/Fax

Practice location:
  • Phone: 787-487-8940
  • Fax:
Mailing address:
  • Phone: 787-487-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: LIMARYS TAPIA
Title or Position: PSYCHOLOGIST
Credential: M.S
Phone: 787-487-8940