Emotional Connect LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EMOTIONAL CONNECT LLC

Practice address

17 Calle 2 Ste 520
Guaynabo, PR 00968-1750

Phone

(787) 622-9797

Fax

(787) 622-9888

NPI assigned

Mar 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Awilda M Broco

Title

Chief Executive Officer

Phone

(787) 622-9797

Specialties & licenses 4

Addresses

Other names 1

• FHCHS of Puerto Rico Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Joel Rivera, MD

  • Psychiatry Physician
  • Guaynabo, PR
  • NPI 1174771067
  Medicare reassignment NPD
• Karin Janet Perez Torres, MHS, C.A.T.IV

  • Professional Counselor
  • Guaynabo, PR
  • NPI 1457719700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1114676376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALLE 2 STE 520",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681750",
            "telephone_number": "787-622-9797",
            "fax_number": "787-622-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE 2 STE 520",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681750",
            "telephone_number": "787-622-9797",
            "fax_number": "787-622-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOTIONAL CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BROCO",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "787-622-9797",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHCHS of Puerto Rico Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.