Provider Demographics
NPI:1508757477
Name:PSICOSALUD CONSULTANTS, LLC.
Entity type:Organization
Organization Name:PSICOSALUD CONSULTANTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:URDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANCHEZ SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:939-384-6173
Mailing Address - Street 1:3119 CALLE PALMA
Mailing Address - Street 2:URB. VALLE COSTERO
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-3202
Mailing Address - Country:US
Mailing Address - Phone:939-384-6173
Mailing Address - Fax:787-580-7633
Practice Address - Street 1:CARR. 1 KM. 113.9
Practice Address - Street 2:BO PASTILLO
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-3501
Practice Address - Country:US
Practice Address - Phone:787-580-7633
Practice Address - Fax:787-580-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)