Healthcare Provider Details

I. General information

NPI: 1508789652
Provider Name (Legal Business Name): CENTRO DE PSICOLOGIA Y SANACION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 CALLE CONCORDIA STE 202
PONCE PR
00717-1543
US

IV. Provider business mailing address

2304 CALLE LOMA URB. VALLE ALTO
PONCE PR
00730-4145
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-4287
  • Fax:
Mailing address:
  • Phone: 787-702-3918
  • 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: JOANIE MORALES SANTIAGO
Title or Position: OWNER
Credential: PSY D
Phone: 787-702-3918