Organization · NPI-2

Bloom Therapy Clinic LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Toa Baja, PR

NPI number1124972641
StatusActive
Last updated in NPPESMay 5, 2026

Details

NPI
1124972641
Entity type
Organization (NPI-2)
Legal business name
Bloom Therapy Clinic LLC
Organization subpart
No
Enumeration date
Feb 23, 2026
Certification date
May 5, 2026
Last updated
May 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1012 Ave Dos Palmas
Toa Baja, PR 00949-4101

Phone 787-949-5557

Mailing address

5005 Camino Del Mar Via Cangrejos
Toa Baja, PR 00949

Phone 787-949-5557

Authorized official

Johamarys D Rivera Santana
President
7879495557

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