Clinica Integral & Bienestar Emocional LLC
Organization Active NPI Clinic/Center · Utuado, PR
NPI 1174290928 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1174290928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CLINICA INTEGRAL & BIENESTAR EMOCIONAL LLC
- Practice address
- Ave. Esteves #10
Utuado, PR 00641-9606 - Phone
- (939) 334-4517
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Yairalys Feliciano, PH. D.
- Title
- Presidenta
- Phone
- (939) 334-4517
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Centro de Intervencion Y Bienestar Emocional Lpllc
Locations
521 Ave Jose a Cedeno
Ste 7
Arecibo, PR 00612
Phone (939) 334-4517
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
Ave. Esteves #10
Utuado, PR 00641-9606
Mailing address
PO Box 144100
Arecibo, PR 00614-4100
Phone (939) 334-4517
Other practice location 1
AVE JOSE A CEDENO #521 EDIF NOLLA Suite 7
Arecibo, PR 00612
Phone (939) 334-4517
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038167000 | Medicaid | PR | |
| 039136000 | Medicaid | PR |
Other providers in Utuado, PR
- Herminio R Cintron
- Cita Segura LLC
- Clinica de Fisioterapia Y Rehabilitacion de la Montana
- Clinica de Servicios Integradosn Etapas LLC
- Clinica de Servicios Integradosn Etapas LLC
- Clinica Multidisciplinaria de la Montana LLC
- Deilis Colon Quintana
- Comunidad Saludable de la Montana
- Wanda I Cordero Rios
- Coreye LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.