Neurodiversamente LLC
Psychologist, Clinical in San Juan, Puerto Rico
1619862521- Practice location
- 527 Calle Sergio Cuevas Bustamante, Ave Manuel Domenech, San Juan, PR 00918-2677
- Phone
- 787-204-6886
- Fax
- —
- Last updated
- September 15, 2025
Neurodiversamente LLC is a healthcare organization based in San Juan, PR. Neurodiversamente LLC practices in San Juan, PR. The NPI Number for Neurodiversamente LLC is 1619862521. The current practice location address for Neurodiversamente LLC is 527 Calle Sergio Cuevas Bustamante, Ave Manuel Domenech, San Juan, PR 00918-2677 and can be reached out via phone at 787-204-6886.
Provider Profile Details
- NPI Number
- 1619862521
- Provider Name
- Neurodiversamente LLC
- Provider Entity Type
- Organization
- Address
- 527 Calle Sergio Cuevas Bustamante, Ave Manuel Domenech, San Juan, PR 00918-2677
- Phone Number
- 787-204-6886
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Ismarie Soto Infante, PSYD · Presidente · 787-204-6886
- Provider Enumeration Date
- June 11, 2025
- Last Update Date
- September 15, 2025
- Certification Date
- September 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 527 Calle Sergio Cuevas Bustamante
Ave Manuel Domenech
San Juan, PR 00918-2677 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00918-2677
- Phone Number
- 787-204-6886
Provider Business Mailing Address Details
- Address
- 74 Calle Convento
Santa Isabel, PR 00757-3014 - City
- Santa Isabel
- State
- PR
- Zip
- 00757-3014
- Phone Number
- 787-204-6886
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Neurodiversamente LLC?
The NPI number of Neurodiversamente LLC is 1619862521. It was assigned on June 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Neurodiversamente LLC?
Neurodiversamente LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Neurodiversamente LLC practice?
The practice location is 527 Calle Sergio Cuevas Bustamante, Ave Manuel Domenech, San Juan, PR 00918-2677. The office can be reached at 787-204-6886 (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 1619862521 directly on the NPPES registry website.