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
- Title
- Director
- Phone
- (787) 964-1190
Practitioners 3
-
Sandra Rivera Torres, PSY D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 4036 | PR | |
| Clinical Psychologist |
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
- Maria C Casiano
- Jose E. Castellon Miranda
- Mario L. Castillo Maldonado
- Juan Bautista Castro Perez
- Gabiana P Centeno Cruz
- Centro de Polisomnografia del Suroeste
- Centro de Salud Quiropractico Inc
- Centro de Vacunacion Policlinica Dr. Radames Marin, Inc.
- Centro Epecializado En Patologia Y Terapia del Habla-Lenguaje
- Centro Interdisciplinario de Terapia Y Ayuda del Sur, Inc.
All providers in Yauco, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.