MEDICARE: CONEXION PSICO CREATIVA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1902736499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONEXION PSICO CREATIVA LLC

Provider Business Mailing Address
First Line	:	AVE RAMIREZ DE ARELLANO 4-18
Second Line	:	URB TORRIMAR
City	:	GUAYNABO
State	:	PR
Zip	:	00966-3139
Country	:	US
Telephone Number	:	939-232-0977
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE RAMIREZ DE ARELLANO #4-18
Second Line	:	URB TORRIMAR
City	:	GUAYNABO
State	:	PR
Zip	:	00966-3139
Country	:	US
Telephone Number	:	939-232-0977
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	HECBEL MARIE RODRIGUEZ
Credential	:	PHD
Telephone Number	:	939-232-0977

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “CONEXION PSICO CREATIVA LLC ” Practice Location

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