Active NPI
Mollitiam Therapy Center LLC
- Psychologist
- Rio Grande, PR
National Provider Identifier
1083459663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MOLLITIAM THERAPY CENTER LLC
- Practice address
- Carretera PR 3 KM. 27.0, Barrio Jimenez
Rio Grande, PR 00745 - Phone
- (939) 465-1469
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Giselle Marie Martinez, MS, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (787) 362-0367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
Carretera PR 3 KM. 27.0, Barrio Jimenez
Rio Grande, PR 00745
Mailing address
PO Box 1504
Fajardo, PR 00738-9998
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Rio Grande, PR
- NPI 1932559176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1083459663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1504",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007389998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA PR 3 KM. 27.0, BARRIO JIMENEZ",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "939-465-1469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLLITIAM THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "GISELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "787-362-0367",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.