| Organization Name: | MENTECREATIVA BIENESTAR CUERPO-MENTE INC. |
| NPI Number: | 1073939179 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HILDANES SOTO (PRESIDENT) |
| Mailing Address: | 212 Calle Ventura Gandarilla Comunidad Buenos Aires Arecibo |
| State: | PR US |
| Postal Code: | 00612 |
| Phone Number: | 7874505075 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2014 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 5600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |