Healthcare Provider Details
I. General information
NPI: 1407764822
Provider Name (Legal Business Name): CLINICA FLORESER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
URB. VILLAS DEL REY 2DA SECCION CALLE BONAPARTE B-1
CAGUAS PR
00725
US
IV. Provider business mailing address
42 CALLE LILY
CAGUAS PR
00725-8118
US
V. Phone/Fax
- Phone: 939-940-7736
- Fax:
- Phone: 939-940-7736
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AYINAIDA
SANTIAGO
CARTAGENA
Title or Position: OWNER
Credential: PSYD
Phone: 939-940-7736