Revive Holistic Psychology & Wellness Center

NPI #1700227618 in Guaynabo, Puerto Rico

Provider Information

NPI Number: 1700227618
Entity Type: Organization
Organization Name: Revive Holistic Psychology & Wellness Center
Primary Specialty: Psychologist
Enumeration Date: Jul 9, 2013
Last Updated: Aug 30, 2013

Practice Location

Address: 169 BUTARE AVE #1
Address 2: PLAZA REAL 207
City: Guaynabo
State: Puerto Rico
ZIP Code: 00969
Phone: (787) 562-6500

Authorized Official

Name: CAROL ROLDAN, PSY.
Title: PSYCHOLOGIST
Phone: (787) 562-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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