Healthcare Provider Details

I. General information

NPI: 1396567707
Provider Name (Legal Business Name): REMA CENTRO DE TERAPIA INTEGRAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. SANCHEZ VILELLA GK 33 B-2 COUNTRY CLUB
CAROLINA PR
00982
US

IV. Provider business mailing address

PO BOX 706
GUAYNABO PR
00970-0706
US

V. Phone/Fax

Practice location:
  • Phone: 787-556-3399
  • Fax:
Mailing address:
  • Phone: 787-529-3933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA V CORTES
Title or Position: PRESIDENT
Credential: PHD
Phone: 787-529-3933