Healthcare Provider Details

I. General information

NPI: 1558207886
Provider Name (Legal Business Name): CENTRO DE SERVICIOS PSICOLOGICOS THERAPSIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 AVE ROTARIOS
ARECIBO PR
00612
US

IV. Provider business mailing address

PO BOX 580
GARROCHALES PR
00652-0580
US

V. Phone/Fax

Practice location:
  • Phone: 939-247-3843
  • Fax:
Mailing address:
  • Phone: 787-452-9214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: OLGA I CRUZ ROMAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 787-452-9214