Centro de Accion de Vida Integral Sr Corporacion

Organization Active NPI Clinical Psychologist · Yauco, PR

NPI 1700312923 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1700312923
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
CENTRO DE ACCION DE VIDA INTEGRAL SR CORPORACION
Practice address
Bo Susua Baja Sector 4 Calles Carr 121 KM 3.8 Solar 1
Yauco, PR 00698-4188
Phone
(787) 964-1190
NPI assigned
May 9, 2017
Organization subpart
No

Authorized official

Name
Dr. Sandra Rivera Torres, PSY D NPI 1730474875
Title
Director
Phone
(787) 964-1190

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180215001644 PR Part B Supplier - Clinic/Group Practice 1456611276 Receives reassigned benefits from 3 practitioners
Practice locations: Yauco, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X 4036 PR
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X Yes

Addresses

Primary practice location

Bo Susua Baja Sector 4 Calles Carr 121 KM 3.8 Solar 1
Yauco, PR 00698-4188

Mailing address

PO Box 5004 PMB 130
Yauco, PR 00698-5004
Phone (787) 964-1190

Other providers in Yauco, PR

All providers in Yauco, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.