Healthcare Provider Details

I. General information

NPI: 1811803463
Provider Name (Legal Business Name): CENTRO PSICOLOGICO NINTAI PARA LA SALUD Y EL BIENESTAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 AVENIDA ELEANOR ROOSEVELT
SAN JUAN PR
00918-3133
US

IV. Provider business mailing address

BF4 VIA DEL BOSQUE
TRUJILLO ALTO PR
00976-6047
US

V. Phone/Fax

Practice location:
  • Phone: 939-775-2880
  • Fax:
Mailing address:
  • Phone: 939-775-2880
  • 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: DR. MELISSA ROSA
Title or Position: DIRECTORA
Credential: PHD
Phone: 787-344-4489