Healthcare Provider Details

I. General information

NPI: 1740135763
Provider Name (Legal Business Name): CONCALMA THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 CALLE MAMEY
RIO GRANDE PR
00745-5315
US

IV. Provider business mailing address

402 CALLE MAMEY
RIO GRANDE PR
00745-5315
US

V. Phone/Fax

Practice location:
  • Phone: 787-608-3423
  • Fax:
Mailing address:
  • Phone: 787-608-3423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VALERY BENITEZ SANTIAGO
Title or Position: PRESIDENT
Credential: PSY.D
Phone: 787-608-3423