Healthcare Provider Details

I. General information

NPI: 1841119021
Provider Name (Legal Business Name): EQUILIBRIOEMOCIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/19/2026
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 Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

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