1528269263 NPI number — CENTRO DE CONSEJERIA PSICOSOCIAL

Table of content: (NPI 1528269263)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528269263 NPI number — CENTRO DE CONSEJERIA PSICOSOCIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO DE CONSEJERIA PSICOSOCIAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528269263
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. TURABO GARDENS
Provider Second Line Business Mailing Address:
M6 CALLE 43
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00727-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-653-6672
Provider Business Mailing Address Fax Number:
787-258-0869

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. TURABO GARDENS M6 STREET 43
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00727-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-6672
Provider Business Practice Location Address Fax Number:
787-258-0869
Provider Enumeration Date:
05/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
EFRAIN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT-OWNER
Authorized Official Telephone Number:
787-653-6672

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , with the licence number:  4504 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 697 . This is a "APS HEALTH CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 337905 . This is a "VALUE OPTIONS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 583451347 . This is a "MAPFRE HEALTH CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: TS 0023 . This is a "PREFERRED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 50128 . This is a "TRIPLE SSS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 337905 . This is a "FHC HEALTH CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 583451347 . This is a "MCS HEALTH CARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com