Healthcare Provider Details

I. General information

NPI: 1881586469
Provider Name (Legal Business Name): CLINICA PHILOSOPHY OF LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

J4 VILLA GRILLASCA AVE MUNOZ RIVERA
PONCE PR
00717
US

IV. Provider business mailing address

1575 AVE MUNOZ RIVERA
PONCE PR
00717-0211
US

V. Phone/Fax

Practice location:
  • Phone: 787-973-0310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MAIRA VALENTIN
Title or Position: PRESIDENTA
Credential:
Phone: 787-973-0310