Provider Demographics
NPI:1285427278
Name:PROFESSIONAL CONSULTING PSYCHOEDUCATIONAL SERVICE LLC
Entity type:Organization
Organization Name:PROFESSIONAL CONSULTING PSYCHOEDUCATIONAL SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:787-644-9872
Mailing Address - Street 1:405 AVE ESMERALDA STE 2
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4466
Mailing Address - Country:US
Mailing Address - Phone:787-644-9872
Mailing Address - Fax:
Practice Address - Street 1:1000 AVE PONCE DE LEON SUITE 500
Practice Address - Street 2:EDIFICIO TELESFORO ESQ CERRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-764-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty