Healthcare Provider Details

I. General information

NPI: 1609604370
Provider Name (Legal Business Name): BELIEVE & BE CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

L 14 C METRO PLAZA CAGUAS VILLA BLANCA PARK
CAGUAS PR
00725
US

IV. Provider business mailing address

G42 AVE PINO
CAGUAS PR
00725-6145
US

V. Phone/Fax

Practice location:
  • Phone: 939-633-4449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. VIVIAN I RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 939-633-4449