Healthcare Provider Details

I. General information

NPI: 1992096291
Provider Name (Legal Business Name): BLESS THERAPY PLACE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 AVE LAS CUMBRES STE 208
GUAYNABO PR
00969-5527
US

IV. Provider business mailing address

PO BOX 3851
GUAYNABO PR
00970-3851
US

V. Phone/Fax

Practice location:
  • Phone: 787-782-1058
  • Fax:
Mailing address:
  • Phone: 787-782-1058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANGEL CALDERON
Title or Position: PRESIDENT
Credential:
Phone: 787-487-4066