Active NPIOrganization

Creactiva LLC

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1376333476
Practice location
239 Ave Arterial Hostos, Capital Center Building/South Tower/Suite 201, San Juan, PR 00918-1475
Fax
—
Last updated
February 5, 2026

Creactiva LLC is a healthcare organization based in San Juan, PR. Creactiva LLC practices in San Juan, PR. The NPI Number for Creactiva LLC is 1376333476. The current practice location address for Creactiva LLC is 239 Ave Arterial Hostos, Capital Center Building/South Tower/Suite 201, San Juan, PR 00918-1475 and can be reached out via phone at 787-517-9282.

Provider Profile Details

NPI Number
1376333476
Provider Name
Creactiva LLC
Provider Entity Type
Organization
Address
239 Ave Arterial Hostos, Capital Center Building/South Tower/Suite 201, San Juan, PR 00918-1475
Phone Number
787-517-9282
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Eliane Enid Otero, PHD · Clinical Psychologist · 787-517-9282
Provider Enumeration Date
May 12, 2025
Last Update Date
February 5, 2026
Certification Date
February 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Ave Arterial Hostos
Capital Center Building/South Tower/Suite 201
San Juan, PR 00918-1475
Zip
00918-1475
Phone Number
787-517-9282
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
239 Ave Arterial Hostos
Capital Center Building/South Tower/Suite 201
San Juan, PR 00918-1475
City
San Juan
State
PR
Zip
00918-1475
Phone Number
787-517-9282

License Information

Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
Taxonomy (2)
Psychologist, Rehabilitation · 103TR0400X
Taxonomy (3)
Psychologist · 103T00000X
Taxonomy (4)
Psychologist, Adult Development & Aging · 103TA0700X
Taxonomy (5)
Military Health Care Provider · 171000000X
Taxonomy (6)
Psychologist, Family · 103TF0000X
Taxonomy (7)
Psychologist, Health · 103TH0004X
Taxonomy (8)
Psychologist, Group Psychotherapy · 103TP2701X
Taxonomy (10)
Psychologist, Health Service · 103TH0100X
Taxonomy (11)
Clinic/Center, Prison Health · 261QP2400X
Taxonomy (12)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Creactiva LLC?

The NPI number of Creactiva LLC is 1376333476. It was assigned on May 12, 2025 and is currently active in the NPPES registry.

What is the specialty of Creactiva LLC?

Creactiva LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Creactiva LLC practice?

The practice location is 239 Ave Arterial Hostos, Capital Center Building/South Tower/Suite 201, San Juan, PR 00918-1475. The office can be reached at 787-517-9282 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376333476 directly on the NPPES registry website.

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