1043739626 NPI number — CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.

Table of content: (NPI 1043739626)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043739626 NPI number — CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
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:
6
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:
1043739626
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9915
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00988-9915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-256-0273
Provider Business Mailing Address Fax Number:
787-876-7856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MARGINAL BALHUINIA
Provider Second Line Business Practice Location Address:
LOIZA VALLEY SHOPPING CENTER LOCAL AA6
Provider Business Practice Location Address City Name:
CANVANAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-256-0273
Provider Business Practice Location Address Fax Number:
787-876-7856
Provider Enumeration Date:
09/14/2017

Additional Information

Authorized Official

Authorized Official Last Name:
PARCIAL
Authorized Official First Name:
HOSPITAL
Authorized Official Middle Name:
Authorized Official Title or Position:
ORG
Authorized Official Telephone Number:
787-256-0273

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , 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: FB109A , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".




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