Healthcare Provider Details

I. General information

NPI: 1588226963
Provider Name (Legal Business Name): MEJORARTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2019
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H21 CALLE JOSE VILLARES
CAGUAS PR
00725-2463
US

IV. Provider business mailing address

PO BOX 1075
SAN LORENZO PR
00754-1075
US

V. Phone/Fax

Practice location:
  • Phone: 939-451-1001
  • Fax:
Mailing address:
  • Phone: 787-996-0583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. KEISHLA MEDINA ORTIZ
Title or Position: PRESIDENT
Credential:
Phone: 787-996-0583