Healthcare Provider Details

I. General information

NPI: 1417811993
Provider Name (Legal Business Name): MINDHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HACIENDA ISABEL 108 CALLE CASTANER
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

HACIENDA ISABEL 108 CALLE CASTANER
SANTA ISABEL PR
00757
US

V. Phone/Fax

Practice location:
  • Phone: 787-904-7469
  • Fax:
Mailing address:
  • Phone: 787-904-7469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANA YOLANDA ANGUITA-OLIVERAS
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 787-975-9085