Healthcare Provider Details

I. General information

NPI: 1891491130
Provider Name (Legal Business Name): BRIGHT PSYCHOLOGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BONNEVILLE HEIGHTS CALLE AIBONITO 60
CAGUAS PR
00727-4964
US

IV. Provider business mailing address

PLAZA DEGETAU 1 CALLE SHUFFORD SUITE 109 PMB 202
CAGUAS PR
00727-4977
US

V. Phone/Fax

Practice location:
  • Phone: 939-395-0188
  • Fax:
Mailing address:
  • Phone: 787-341-6082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. YESICA CENTENO ALICEA
Title or Position: PSYD
Credential: PSYD
Phone: 787-341-6082