Centro de Psicoterapia
Organization Active NPI Psychologist · Lares, PR
NPI 1821690504 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1821690504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- CENTRO DE PSICOTERAPIA
- Practice address
- Carr 129 KM 25.4
Lares, PR 00669 - Phone
- (787) 374-7192
- NPI assigned
- Nov 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Jose Enrique Sarazu, PSYD
- Title
- President
- Phone
- (787) 374-7192
Practitioners 4
-
Laurangelica Cruz, PSYD
-
Lissette Guzman Perez, PSYD, MSW
-
Jose Enrique Sarazu, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201207002656 | PR | Part B Supplier - Clinic/Group Practice | 5597177022 |
Receives reassigned benefits from 3 practitioners Practice locations: Lares, PR |
National Provider Directory
Locations
500 Carr 129
#254
Lares, PR 00669
502 Ave Los Patriotas
Lares, PR 00669
Phone (787) 897-2518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Mental Health Occupational Therapist |
225XM0800X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
Carr 129 KM 25.4
Lares, PR 00669
Mailing address
PO Box 1161
Barceloneta, PR 00617-1161
Phone (787) 374-7192
Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. 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.