Provider Demographics
NPI:1881424182
Name:MIND CLINICAL STUDIO
Entity type:Organization
Organization Name:MIND CLINICAL STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDIMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEXEIRA FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-214-5295
Mailing Address - Street 1:URB EL MONTE
Mailing Address - Street 2:TAITA 3240
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-214-5295
Mailing Address - Fax:
Practice Address - Street 1:LORRAINE MEDICAL BUILDING
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-214-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)