Provider Demographics
NPI:1013300763
Name:MENTE SANA MULTIDISCIPLINARY CLINIC PSC
Entity Type:Organization
Organization Name:MENTE SANA MULTIDISCIPLINARY CLINIC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE / PSIQUIATRA
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARROBA CARPIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-915-6444
Mailing Address - Street 1:2 DR. PEDRO BLANCO LUGO
Mailing Address - Street 2:TORRE MEDICA SUITE 253
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-650-3262
Mailing Address - Fax:
Practice Address - Street 1:2 DR. PEDRO BLANCO LUGO
Practice Address - Street 2:TORRE MEDICA SUITE 253
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-650-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
PR17831261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1740430966OtherNPI
PR17831OtherLICENCIA