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CREACTIVA LLC
NPI 1376333476
Psychologist - Clinical in San Juan, PR

Active since May 12, 2025
239 AVE ARTERIAL HOSTOS, CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201, SAN JUAN, PR 00918(787) 517-9282 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Jan 27, 2026, Dec 2, 2025 and 1 more (4 updates tracked since 2025).

About Creactiva Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREACTIVA LLC (NPI 1376333476) is a healthcare organization registered as a clinical in San Juan, Puerto Rico and active in the NPI registry since May 2025. The organization lists Eliane Enid Otero, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1376333476
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCREACTIVA LLC
Location Address239 AVE ARTERIAL HOSTOS, CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201San Juan, PR 00918-1475
Mailing Address239 Ave Arterial Hostos, Capital Center Building/south Tower/suite 201San Juan, PR 00918-1475 · (787) 517-9282
Phone(787) 517-9282
Organization SubpartNo
Authorized OfficialEliane Enid OteroClinical Psychologist · (787) 517-9282
Enumeration DateMay 12, 2025
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1376333476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedClinic/Center · Prison HealthTaxonomy 261QP2400X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Creactiva Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Creactiva LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eliane Otero Vazquez
Clinical Psychologist
NPI 1497440838
239 AVE ARTERIAL HOSTOS CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201
San Juan, PR 00918
(787) 517-9282
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creactiva LLC's NPI number?

The NPI number for Creactiva LLC is 1376333476. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Creactiva LLC located?

Creactiva LLC is located at 239 Ave Arterial Hostos Capital Center Building/South Tower/Suite 201, San Juan, PR 00918. The listed phone number is (787) 517-9282.

What is Creactiva LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Creactiva LLC enrolled in Medicare?

Yes. Creactiva LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Creactiva LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Creactiva LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Creactiva LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.