Healthcare Provider Details

I. General information

NPI: 1790694743
Provider Name (Legal Business Name): PEACEFUL MINDS CENTRO PSICOLOGICO INTEGRAL, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 CALLE CRUZ ORTIZ STELLA S # 117
HUMACAO PR
00791-4110
US

IV. Provider business mailing address

377 CALLE RIO JACAGUAS ALTURAS DE HATO NUEVO
GURABO PR
00778-8447
US

V. Phone/Fax

Practice location:
  • Phone: 939-380-4410
  • Fax:
Mailing address:
  • Phone: 939-380-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: SUEHAIL GUZMAN
Title or Position: CEO
Credential: PSYCHOLOGIST
Phone: 939-380-4410