Mente Renovada Centro de Intervencion Clinica Social

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

10474 Issued in PR

Legal business name

MENTE RENOVADA CENTRO DE INTERVENCION CLINICA SOCIAL

Practice address

Buen Samaritano Medical & Professional Plaza
Tercer Piso Suite #11
Aguadilla, PR 00603

Phone

(787) 422-2595

NPI assigned

Jan 8, 2018

Last updated

Aug 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marian Desarden, LICENCIADA

Title

Trabajadora Social Clinica

Phone

(787) 422-2595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

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.

• Marian Desarden Vializ, MSW

  • Clinical Social Worker
  • Aguada, PR
  • NPI 1487963484
  Medicare reassignment NPD
• Selysmarie Martinez Gonzalez, PSYD

  • Clinical Psychologist
  • Aguadilla, PR
  • NPI 1700323359
  Medicare reassignment NPD
• Rosaura Domenech Gutierrez, MSW

  • Clinical Social Worker
  • Aguadilla, PR
  • NPI 1760244248

  Single Specialty

  NPD

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1487161808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CALLE A",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024007",
            "telephone_number": "787-669-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUEN SAMARITANO MEDICAL & PROFESSIONAL PLAZA",
            "address_2": "TERCER PISO SUITE #11",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-422-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTE RENOVADA CENTRO DE INTERVENCION CLINICA SOCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "DESARDEN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "TRABAJADORA SOCIAL CLINICA",
        "authorized_official_telephone_number": "787-422-2595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENCIADA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "10474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lymaris E Mendez, RPH
• Marilyn Mendez
• Marisol Mendez, M.T.
• Waleska N. Mendez
• Mente En Equilibrio LLC
• Sarahi Mercado Grafals, MSPT
• Jamaarl Mercado Rivera
• Genesis Yeideliz Mercado
• Jose A Mercado, DMD
• Jose Antonio Mercado Sr.

• Adult Mental Health Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.