Healthcare Provider Details

I. General information

NPI: 1831093426
Provider Name (Legal Business Name): ESENCIA PLENA SERVICIOS PSICOLOGICOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE PINO H-33 LOCAL 2 VILLA TURABO
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 4952
CAGUAS PR
00726-4952
US

V. Phone/Fax

Practice location:
  • Phone: 939-223-8298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NINOSHKA CACERES
Title or Position: PSICOLOGA CLINICA
Credential:
Phone: 939-223-8298