Organization Active NPI

Clinica Psicoterapeutica Bienestar LLC

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1972342145
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICA PSICOTERAPEUTICA BIENESTAR LLC
Practice address
Glenview Gardens
F2 Calle Estadia
Ponce, PR 00730-1779
Phone
(787) 546-5315
NPI assigned
May 20, 2024
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Irmarie Cruz Cortes, PSY DNPI 1508216979
Title
Property
Phone
(787) 546-5315

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

Glenview Gardens
F2 Calle Estadia
Ponce, PR 00730-1779

Mailing address

2806 Calle la Plata
Urb Villa Dos Rios
Ponce, PR 00730
Phone (787) 546-5315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730002046 PR Part B Supplier - Clinic/Group Practice 4385181148 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

2984 Ave Emilio Fagot
Ponce, PR 00716
Phone (787) 342-8162

F2 Calle Estadia
Ponce, PR 00730
Phone (787) 546-5315

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1972342145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 CALLE LA PLATA",
            "address_2": "URB VILLA DOS RIOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-546-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLENVIEW GARDENS",
            "address_2": "F2 CALLE ESTADIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301779",
            "telephone_number": "787-546-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA PSICOTERAPEUTICA BIENESTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "CRUZ CORTES",
        "authorized_official_first_name": "IRMARIE",
        "authorized_official_title_or_position": "PROPERTY",
        "authorized_official_telephone_number": "787-546-5315",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.