Organization Active NPI

Centro de Servicios Psicologicos Resurgir, P.S.C.

  • Massage Therapist
  • Ponce, PR
National Provider Identifier
1336538065
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CENTRO DE SERVICIOS PSICOLOGICOS RESURGIR, P.S.C.
Practice address
22 Calle Sol Ste 1
Ponce, PR 00730-3820
Phone
(787) 677-6065
NPI assigned
Jan 19, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Yiddish M Alvarez, PH.D.
Title
Clinical Psychologist President
Phone
(787) 677-6065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

22 Calle Sol Ste 1
Ponce, PR 00730-3820

Mailing address

22 Calle Sol Ste 1
Ponce, PR 00730-3820
Phone (787) 677-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151002000670 PR Part B Supplier - Clinic/Group Practice 9931417425 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

8111 Calle Concordia
Ste 205
Ponce, PR 00717

22 Calle Sol
#205
Ponce, PR 00730
Phone (787) 677-6065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1336538065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE SOL STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303820",
            "telephone_number": "787-677-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE SOL STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303820",
            "telephone_number": "787-677-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS PSICOLOGICOS RESURGIR, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2025-09-11",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "YIDDISH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "787-677-6065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.