Healthcare Provider Details

I. General information

NPI: 1831051119
Provider Name (Legal Business Name): EXPLORA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

D7 CALLE 2
VEGA BAJA PR
00693-4577
US

IV. Provider business mailing address

540 AVE JARDINES
VEGA BAJA PR
00693-3986
US

V. Phone/Fax

Practice location:
  • Phone: 787-454-4419
  • Fax:
Mailing address:
  • Phone: 787-454-4419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SUHEILY SERRANO MARRERO
Title or Position: PROVEEDOR
Credential: PSYD
Phone: 787-454-4419