CLINICA INTERDISCIPLINARIA DE PSIQUIATRIA AVANZADA (NPI# 1194737189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194737189 |
| Entity Type | Organization |
| Organization Name | CLINICA INTERDISCIPLINARIA DE PSIQUIATRIA AVANZADA |
| Other Organization Name | CIPA |
| Practice Address |
650 Calle Lloveras Edif Centro Plaza Suite 101 San Juan PR 00909-2110 |
| Practice Telephone | 7877214020 |
| Practice Fax Number | 7877214555 |
| Mailing Telephone | 7877214020 |
| Mailing Fax Number | 7877214555 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARLOS AUGUSTO CABAN (PRESIDENT) |
| Authorized Official Telephone | 7877214020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
7800 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CIPA | Doing Business As Name - Organization |
| Street Address |
650 CALLE LLOVERAS EDIF CENTRO PLAZA SUITE 101 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345886 | Ramon E Mendez | Obstetrics & Gynecology | 650 Calle Lloveras, Suite 204 Edificio Centro Plaza, San Juan, PR 00909-2110 | 2005-08-31 |
| 1720403306 | Miguel A Campos Esteve Psc | Internal Medicine | 650 Calle Lloveras, Centro Plaza Suite 202, San Juan, PR 00909-2110 | 2014-02-19 |
| 1508209347 | Luis R. Burgos-anaya | Radiology | 650 Calle Lloveras, Cond Centro Plaza Suite 104, San Juan, PR 00909 | 2013-04-11 |
| 1619192184 | Julio Nelson Sepulveda Acosta | Nuclear Medicine | 650 Calle Lloveras, Cond Centro Plaza Suite 104, San Juan, PR 00909 | 2007-04-17 |
| 1699804617 | Rolando Rocafort | Specialist | 650 Calle Lloveras, Suite 203, San Juan, PR 00909-2110 | 2007-03-05 |
| 1790727006 | Rem Ob Gyn Services, P.s.c. | Obstetrics & Gynecology | 650 Calle Lloveras, Suite 204 Centro Plaza, San Juan, PR 00909-2110 | 2006-06-12 |
| 1982690046 | Allan Torres | Specialist | 650 Calle Lloveras, Suite 205, San Juan, PR 00909-2110 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497177372 | Servicios Psicologicos LLC | Clinic/Center | Rio Piedras Heights - Tinto St. 1733, San Juan, PR 00926-0000 | 2014-01-13 |
| 1518309848 | Municipio De San Juan | Clinic/Center | Calle Serra 900, Gualberto Rabell, San Juan, PR 00907 | 2013-07-29 |
| 1386946176 | Inaya Psychiatric Medical Group | Clinic/Center | Via Cumbres Street Urb La Vista, G 11, San Juan, PR 00924 | 2010-11-30 |
| 1588990600 | Dr. Padro & Asociados Inc. | Clinic/Center | 1616 Ave Ponce De Leon Ste 2, Santurce, San Juan, PR 00909-1845 | 2009-10-23 |
| 1154532505 | Servicios Psiquiatricos Dr. Ricardo Diez Delgado, Csp | Clinic/Center | 124 Winston Churchill Esq. Parana, Piso 2, Ofic. 5, San Juan, PR 00936-3603 | 2007-05-25 |
| 1992895379 | Inspira Psychiatric Services Psc | Clinic/Center | Torre Auxilio Mutuo Suite 410, San Juan, PR 00917 | 2006-10-13 |
| 1235124843 | Centro De Salud Mental De San Patricio | Clinic/Center | Ave De Diego Calle Ca�ada, Puerto Nuevo, San Juan, PR 00922 | 2005-09-20 |
| 1386114148 | Anxietyworks Pllc | Clinic/Center | 220 Calle Manuel Domenech # 2049, San Juan, PR 00918-3533 | 2018-12-04 |
| 1023516317 | Inspira Behavioral Care Corp. | Clinic/Center | 431 Ave Hostos, San Juan, PR 00918-3014 | 2018-02-01 |
| 1295240281 | Inspira Behavioral Care Corp. | Clinic/Center | 431 Ave Hostos, San Juan, PR 00918-3014 | 2017-12-12 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.