Healthcare Provider Details
I. General information
NPI: 1740070978
Provider Name (Legal Business Name): BELIEVE THERAPY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 AVE EMERITO ESTRADA
SAN SEBASTIAN PR
00685-3100
US
IV. Provider business mailing address
70 CALLE SERAFIN MENDEZ
MOCA PR
00676-5211
US
V. Phone/Fax
- Phone: 787-379-1305
- Fax:
- Phone: 787-379-1305
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GLADYS
M
ROMAN GARCIA
Title or Position: DIRECTORA
Credential:
Phone: 787-379-1305