Healthcare Provider Details

I. General information

NPI: 1245148782
Provider Name (Legal Business Name): GROWTH CENTRO DE ARTETERAPIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MQ18 PLAZA 37 URB MONTE CLARO
BAYAMON PR
00961-3577
US

IV. Provider business mailing address

MQ18 PLAZA 37 URB MONTE CLARO
BAYAMON PR
00961-3577
US

V. Phone/Fax

Practice location:
  • Phone: 787-662-0537
  • Fax:
Mailing address:
  • Phone: 787-662-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: JUDITH PADILLA
Title or Position: ART THERAPIST
Credential:
Phone: 787-662-0537