=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124984331
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONTIGO CENTRO DE CONSEJERIA Y DESARROLLO PERSONAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2025
-----------------------------------------------------
Last Update Date | 12/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PLAZA ITURREGUI SHOPPING CENTER 1135 AVE. 65 INFANTERIA SUITE 200-D
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-980-2586
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PLAZA ITURREGUI SHOPPING CENTER 1135 AVE. 65 INFANTERIA SUITE 200-D
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-980-2586
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | JONAIRA RAMOS HERNANDEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-513-9451
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------