Healthcare Provider Details

I. General information

NPI: 1083539696
Provider Name (Legal Business Name): MCT PSYCHOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR # 2 KM 92.6 INT BO MEMBRILLO
CAMUY PR
00627-9702
US

IV. Provider business mailing address

PO BOX 327
SABANA HOYOS PR
00688-0327
US

V. Phone/Fax

Practice location:
  • Phone: 787-366-2460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARTA I CRUZ TORRES
Title or Position: PRESIDENT
Credential: PSYD
Phone: 787-366-2460