Healthcare Provider Details

I. General information

NPI: 1437466083
Provider Name (Legal Business Name): PSYCHE CENTRO DE APOYO PSICOLOGICO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BETANCES #23 (BAJOS)
CAGUAS PR
00725-0003
US

IV. Provider business mailing address

HC 04 BOX 46938
CAGUAS PUERTO RICO
00727
UM

V. Phone/Fax

Practice location:
  • Phone: 787-961-8484
  • Fax:
Mailing address:
  • Phone: 787-347-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MAYTE LOZADA VELEZ
Title or Position: OWNER
Credential:
Phone: 787-961-8484