Healthcare Provider Details

I. General information

NPI: 1003783309
Provider Name (Legal Business Name): POWERUP PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CARR 14
JUANA DIAZ PR
00795-9157
US

IV. Provider business mailing address

PO BOX 800737
COTO LAUREL PR
00780-0737
US

V. Phone/Fax

Practice location:
  • Phone: 939-217-2786
  • Fax:
Mailing address:
  • Phone: 939-217-2786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MOISES MUNOZ PAGAN
Title or Position: PRESIDENT
Credential: PSYD
Phone: 939-284-6804