SDIM THERAPY GROUP CORP NPI 1902787849

NPI Information

  • NPI: 1902787849
  • Provider Name: SDIM THERAPY GROUP CORP
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: CARR 125 KM 12.6 BO CAPA
    SECTOR VARGAS
    MOCA, PR
    ZIP 00676
  • Phone: (787) 877-7065

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NPI Details

SDIM THERAPY GROUP CORP is a mental health (including community mental health center) clinic center in Moca, PR. SDIM THERAPY GROUP CORP NPI is 1902787849. The provider is registered as an organization entity type.

The provider's business location address is:

CARR 125 KM 12.6 BO CAPA
SECTOR VARGAS
MOCA, PR
ZIP 00676
Phone: (787) 877-7065

The provider's authorized official is Suly D Illas Mendez .
The authorized official title is Presidente and has the following contact phone number (787) 877-7065.

The enumeration date for this NPI number is 9/9/2025 and was last updated on 9/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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