Centro De Accion De Vida Integral Sr Corporacion
Psychologist, Clinical in Yauco, PR. Organization (NPI-2).
NPI number1700312923
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1700312923
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro De Accion De Vida Integral Sr Corporacion
- Organization subpart
- No
- Enumeration date
- May 9, 2017
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103T00000X | Psychologist | 4036 | PR |
Practice location
Bo Susua Baja Sector 4 Calles Carr 121 Km 3.8 Solar 1Yauco, PR 00698-4188
Phone 787-964-1190
Mailing address
Po Box 5004 Pmb 130Yauco, PR 00698-5004
Phone 787-964-1190
Authorized official
Sandra Rivera Torres
Director
7879641190
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