CREATIVE THERAPY CENTER (NPI# 1790100691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790100691 |
| Entity Type | Organization |
| Organization Name | CREATIVE THERAPY CENTER |
| Practice Address |
Carr 167 Marginal Bella Vista U-1 Bayamon PR 00961-4477 |
| Mailing Address |
Po Box 4193 Bayamon PR 00958-1193 |
| Practice Telephone | 7876371159 |
| Practice Fax Number | 7875454246 |
| Mailing Telephone | 7876371159 |
| Mailing Fax Number | 7875454246 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |
| Authorized Official Name | DR. CORAL RIVERA (PRESIDENT) |
| Authorized Official Telephone | 7876371159 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2286 | Behavioral Health & Social Service Providers |
| Street Address |
CARR 167 MARGINAL BELLA VISTA U-1 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609169879 | Evelyn Reyes | Pharmacist | Carr 167, Bayamon, PR 00961-4477 | 2011-05-22 |
| 1265898886 | Nicole Andrea Colon Siemer | Pharmacist | Carr 167, 550 Plaza Tropical Barrio Cerro Gordo, Bayamon, PR 00961-6385 | 2016-01-12 |
| 1689098477 | Coral Rivera | Psychologist | Carr 167, Marginal Buena Vista U-1, Bayamon, PR 00961-4477 | 2014-02-13 |
| 1730503541 | Creative Therapy Center, Csp | Clinic/Center | Carr 167, Marginal Buena Vista U-1, Bayamon, PR 00961-4477 | 2014-02-13 |
| 1578904082 | Pediatria Buena Vista Csp | Clinic/Center | Carr 167, Bayamon, PR 00961-4477 | 2013-07-12 |
| 1679813919 | Nancy Viana | Social Worker | Carr 167, Urb Bella Vista, Bayamon, PR 00961-4477 | 2013-02-24 |
| 1205176542 | Francheska Villanueva | Specialist/Technologist | Carr 167, Rr 8 Box 1995, Bayamon, PR 00961-4477 | 2013-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1427689850 | Osvaldo Gonzalez | Psychologist | W10 Calle 12, Bayamon, PR 00959-8014 | 2020-02-04 |
| 1295377430 | Coralia Krystal Maldonado | Psychologist | Urb. Santa Rosa #68 Calle Esteban Padilla, Bayamon, PR 00959 | 2019-10-09 |
| 1528534385 | Melisa Quinones | Psychologist | 2a16 Ave Nogal, Bayamon, PR 00956-3435 | 2018-10-19 |
| 1619483906 | Mariselee Diaz Conde | Psychologist | 1 Calle Magnolia Gardens, A-28, Bayamon, PR 00959 | 2017-12-21 |
| 1225544174 | Hector I Rodriguez Capeles | Psychologist | Urb Santa Rosa, 11-16 Carr 174, Bayamon, PR 00959 | 2017-12-14 |
| 1093220519 | Carmen Lydia Rivera Medina | Psychologist | Calle 2 E-11, Santa Cruz, Bayamon, PR 00961-3516 | 2017-12-06 |
| 1003347634 | Erika Viera Fonseca | Psychologist | Rr 8 Box 2147, Bayamon, PR 00956-9693 | 2017-03-24 |
| 1669913190 | Omar Pena-rivera | Psychologist | 20 Zaya Verde, Hato Tejas, Bayamon, PR 00959-4848 | 2017-03-16 |
| Find all providers in BAYAMON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.