Healthcare Provider Details

I. General information

NPI: 1902736499
Provider Name (Legal Business Name): CONEXION PSICO CREATIVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE RAMIREZ DE ARELLANO #4-18 URB TORRIMAR
GUAYNABO PR
00966-3139
US

IV. Provider business mailing address

AVE RAMIREZ DE ARELLANO 4-18 URB TORRIMAR
GUAYNABO PR
00966-3139
US

V. Phone/Fax

Practice location:
  • Phone: 939-232-0977
  • Fax:
Mailing address:
  • Phone: 939-232-0977
  • 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: HECBEL MARIE RODRIGUEZ
Title or Position: PRESIDENTE
Credential: PHD
Phone: 939-232-0977