Organization Active NPI

Neuro Lab Therapy Group, LLC

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1619764495
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
NEURO LAB THERAPY GROUP, LLC
Practice address
825 Ave San Patricio
San Juan, PR 00921-1311
Phone
(787) 466-9722
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Dr. Natasha Torres Rivera, M.S.
Title
Owner
Phone
(787) 466-9722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

825 Ave San Patricio
San Juan, PR 00921-1311

Mailing address

825 Ave San Patricio
San Juan, PR 00921-1311
Phone (787) 466-9722

National Provider Directory

National Provider Directory

Locations

825 Ave San Patricio
San Juan, PR 00921
Phone (787) 466-9722

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1619764495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 AVE SAN PATRICIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211311",
            "telephone_number": "787-466-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 AVE SAN PATRICIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211311",
            "telephone_number": "787-466-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO LAB THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "TORRES RIVERA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-466-9722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "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 San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.