Healthcare Provider Details

I. General information

NPI: 1063330827
Provider Name (Legal Business Name): UNICO MENTE Y DESARROLLO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2U8 AVE LAUREL
BAYAMON PR
00956-3340
US

IV. Provider business mailing address

2U8 AVE LAUREL
BAYAMON PR
00956-3340
US

V. Phone/Fax

Practice location:
  • Phone: 939-745-9363
  • Fax:
Mailing address:
  • Phone: 939-745-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA VEGA TORRES
Title or Position: PRESIDENT
Credential: MS
Phone: 787-210-6940