Healthcare Provider Details

I. General information

NPI: 1700739794
Provider Name (Legal Business Name): RESILIENT MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO ARTURO CADILLA, PASEO SAN PABLO #100 SUITE 209
BAYAMON PR
00960
US

IV. Provider business mailing address

97 CARR 2 STE 500
GUAYNABO PR
00966-2049
US

V. Phone/Fax

Practice location:
  • Phone: 208-486-7526
  • Fax:
Mailing address:
  • Phone: 208-486-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NATALIA BERNAL FERNANDEZ
Title or Position: CLINICAL NEUROPSYCHOLOGIST
Credential: PSYD
Phone: 787-667-8337