OrganizationActive
Atypical Brains, LLC
NPI 1447016746 · Child & Adolescent Psychiatry Physician · San Juan, PR
Provider details
- NPI number
- 1447016746
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joahnibel Reyes Maysonet, President(787) 636-7090
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
Medical Center Plaza Num 2
Calle Casia Esq 3se
San Juan, PR 00921
Phone: (939) 399-3255
Mailing address
Po Box 270178
San Juan, PR 00928-0178
Registry dates
- Enumerated
- 2024-02-23
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.