Healthcare Provider Details

I. General information

NPI: 1356263669
Provider Name (Legal Business Name): ACCESO VIRTUAL A LA SALUD MENTAL EN PUERTO RICO CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 763 KM 0.8 BO. BORINQUEN PRADERA
CAGUAS PR
00725-9040
US

IV. Provider business mailing address

HC 11 BOX 47665
CAGUAS PR
00725-9040
US

V. Phone/Fax

Practice location:
  • Phone: 939-649-1799
  • Fax:
Mailing address:
  • Phone: 939-649-1799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MILAGROS ROQUE CRUZ
Title or Position: CEO
Credential: MSW
Phone: 939-649-1799