BLOOM THERAPY CLINIC LLC – NPI #1124972641
Clinic/Center

BLOOM THERAPY CLINIC LLC is an AHC clinic located in TOA BAJA, PR. NPPES has assigned the NPI number 1124972641 to BLOOM THERAPY CLINIC LLC on February 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on May 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOOM THERAPY CLINIC LLC below.

NPI Profile for
BLOOM THERAPY CLINIC LLC

NPI Number
1124972641
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOOM THERAPY CLINIC LLC
Primary location
1012 AVE DOS PALMAS
TOA BAJA, PR 00949-4101
Phone: (787) 949-5557 Fax:
Mailing address
5005 CAMINO DEL MAR VIA CANGREJOS
TOA BAJA, PR 00949
Phone: (787) 949-5557 Fax:
Organization Subpart
No
Authorized Official
JOHAMARYS RIVERA SANTANA
PRESIDENT
Phone: (787) 949-5557
Updated
Certification Date
May 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.