Active NPI
Clinica Psicologica del Sureste LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guayama, PR
National Provider Identifier
1619821949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CLINICA PSICOLOGICA DEL SURESTE LLC
- Practice address
- Calle Duque #29
Esquina San Jose
Guayama, PR 00784 - Phone
- (787) 597-7967
- NPI assigned
- Feb 24, 2026
- Last updated
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ednaliz Camacho, PSYC
- Title
- President
- Phone
- (787) 597-7967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
Calle Duque #29
Esquina San Jose
Guayama, PR 00784
Mailing address
5015 Calle Punta Tuna
Villas del Faro 410
Maunabo, PR 00707
Phone (787) 597-7967
National Provider Directory
National Provider DirectoryLocations
29 Calle Duque
Guayama, PR 00784
Phone (787) 597-7967
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.
-
- Psychologist
- Arroyo, PR
- NPI 1811487531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1619821949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 CALLE PUNTA TUNA",
"address_2": "VILLAS DEL FARO 410",
"city": "MAUNABO",
"state": "PR",
"postal_code": "00707",
"telephone_number": "787-597-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DUQUE #29",
"address_2": "ESQUINA SAN JOSE",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-597-7967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA PSICOLOGICA DEL SURESTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "CAMACHO",
"authorized_official_first_name": "EDNALIZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-597-7967",
"authorized_official_credential": "PSYC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
- Hector Luis Cintron Jeremias, M.D.
- Yajaira Cintron Lugo, PSY-D
- Clinica de Ojos de Guayama Inc
- Clinica Interdisciplinaria del Sur Este, Inc
- Clinica Interdisciplinaria del Sureste, Inc.
- Clinica Santa Rosa
- Clinica Todo Salud - Aibonito, LLC (Clinica Todo Salud - Guayama)
- Clinica Visual de Guayama
- Enid S Cochran Rivera
- Suheily Collazo Colon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.